Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Courtney Lane Loper, PAC

Individual provider Physician Assistant · NPI 1881870657

MS. Courtney Lane Loper, PAC is a Physician Assistant in Fort Walton Beach, Florida. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Florida, North Carolina and Nevada.

Years since qualifying
19
Licensed in
FL, NC, NV
In the registry since
2008
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1024 Mar Walt Dr
Fort Walton Beach, FL 32547-6645
Phone: (850) 863-3148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9110566 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 001001101 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA1523 (NV)

Record details

NPI number1881870657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 11, 2008
Last updated in NPPESOctober 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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