NPPES file of Aug 9, 2026

Courtney L. Teller, PA-C

Physician Assistant · Dixon, IL

Courtney L. Teller, PA-C is a physician assistant with a practice address in Dixon, Illinois, and NPI 1417208505, issued on Sep 28, 2012. Check the license (Illinois 085004426, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417208505
Name
Courtney L. Teller
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License number
085004426 IL
Self-reported in NPPES; status is on the state search
Practice location
102 S Hennepin Ave, Dixon, IL 61021
Phone
(815) 285-8523
Enumerated
Sep 28, 2012
Record last updated
Aug 27, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(815) 285-8901
Medicaid ID
329785745001 IL
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 102 S Hennepin Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Pranjal Agrawal, M.D.Internal Medicine Physician1174723290
  2. Gina Aikins, MS, RD, LDRegistered Dietitian1609413632
  3. Xaviera Brierre, MDFamily Medicine Physician1528909330
  4. Alexandra Buckwalter, MDFamily Medicine Physician1750138939
  5. Lisa Denobriga, M.D.Student in an Organized Health Care Education/Training Program1205088671
  6. Marissa Frost, APRN, CNPFamily Nurse Practitioner1639786270

Verify Courtney L. Teller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 085004426    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

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Industry payments in 2024: $56.96

3 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Courtney Teller$56.96
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Physician Assistant providers in Illinois

There are 4,926 physician assistant records in Illinois.

All 4,926 in Illinois → Every provider in Dixon →

Other physician assistant records in Illinois

  1. Brooke Aarhus, PA-CPark Ridge, IL1760985469
  2. Sana Abbasi, PACarol Stream, IL1831803295
  3. Susan Abbinanti, PA-CElk Grove Village, IL1679647358
  4. Katheryn Abbott, PASchaumburg, IL1356842082
  5. Noor Abdelrahman, PA-CChicago, IL1851012413
  6. Amer Abdulghafoor, MSW, MS, PA-CChicago, IL1619401718
  7. Kazuko Abe, P.A.Chicago, IL1881840783
  8. Greta Abel, PA-CWheaton, IL1174844096
  9. Derrik AbellAnna, IL1821618471
  10. Jeanine Aberbook, PA-CChicago, IL1518664176

Common questions

What is Courtney L. Teller, PA-C's NPI number?

Courtney L. Teller, PA-C's National Provider Identifier (NPI) is 1417208505, issued on Sep 28, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Courtney L. Teller, PA-C located?

The NPPES record lists a practice address at 102 S Hennepin Ave, Dixon, IL, 61021. Phone: (815) 285-8523. Providers update this record themselves, so call before visiting.

How can I verify Courtney L. Teller, PA-C's license?

NPPES lists Illinois license number 085004426, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.