Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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MS. Courtney Nicole Bayliss, PA-C

Individual provider Physician Assistant · NPI 1558144972

MS. Courtney Nicole Bayliss, PA-C is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2025, 1 year ago. Practices with Cotton-O'Neil Clinic Revocable Trust, a 658-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 660-3842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Sw 10th Ave, Topeka, KS 66604-1301 — (785) 354-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence P-ENDING (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558144972
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cotton-O'Neil Clinic Revocable Trust — 658 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Stormont Vail Hospital Hospital · Topeka, KS

Colleagues at Cotton-O'Neil Clinic Revocable Trust

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 658 clinicians in the practice; 12 are shown here.

Other providers in Tulsa