NPIMap

Individual provider Active NPI

Courtney Neel Rogers, FNP-BC

  • Family Nurse Practitioner
  • Abingdon, VA
National Provider Identifier
1023554672
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173967 Issued in VA
Practice address
16000 Johnston Memorial Dr Ste 213
Abingdon, VA 24211
Phone
(276) 258-2600
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173967 VA Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr Ste 213
Abingdon, VA 24211

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

150 Market Ridge Ln
Daleville, VA 24083-3258
Phone (540) 966-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170331001502 VA Practitioner - Nurse Practitioner 6305121427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664

323 Falls NWDR
Abingdon, VA 24210-8093
Phone (276) 628-2612

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Abingdon, VA, CCN 497566
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2023 Accepting new patients
Wellmont Health System Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2023 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation Family Past Accepting new patients

Locations

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

16000 Johnston Memorial Dr
Ste 213
Abingdon, VA 24211
Phone (276) 258-2600

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: crogers408338@balladhealth.medalliesdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1023554672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 213",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24211",
            "telephone_number": "276-258-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Market Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "VA",
            "postal_code": "240833258",
            "country_code": "US",
            "telephone_number": "540-966-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "COURTNEY",
        "middle_name": "NEEL",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.