Courtney Marie Hettel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704361174 Issued in MI

Practice address

2065 South Center Rd
Burton, MI 48519

Phone

(810) 235-2004

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Coverage Services PCGroup PAC ID 3678536398, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physician Coverage Services PC

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1669567806
  Medicare reassignment Care Compare group NPD
• Physician Coverage Services

  • Specialist
  • Grand Blanc, MI
  • NPI 1992868459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1003520909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SOUTH CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48519",
            "telephone_number": "810-338-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 SOUTH CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "48519",
            "telephone_number": "810-235-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 Magnolia Ct",
            "address_purpose": "LOCATION",
            "city": "Davison",
            "state": "MI",
            "postal_code": "484232088",
            "country_code": "US",
            "telephone_number": "810-338-7696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETTEL",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MI",
            "license": "4704361174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704361174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Medical Group Genesys
• Katie Mae Henry
• Shakeisha Herbert
• Laura Ann Herrington
• Micah Hester
• Hhas Target LLC
• Abbey Hilden, PA-C
• Kathleen Hilton, FNP
• Sharon K Himelhoch, DC
• Darrion Holden-Lawrence

• Family Nurse Practitioner in Burton, MI
• Providers in Burton, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.