Individual provider Active NPI

Courtney Nelson, AGPCNP-C

  • Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1083096465
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71005840A Issued in IN
Practice address
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072
Phone
(317) 885-2860
Fax
(317) 885-2869
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71005840A IN
Nurse Practitioner 363L00000X 71005840A IN Primary
Gerontology Nurse Practitioner 363LG0600X 71005840A IN

Addresses

Primary practice location

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072

Mailing address

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072
Phone (317) 885-2860

Other identifiers 1

IdentifierTypeStateIssuer
201331220MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20151013000836 IN Practitioner - Nurse Practitioner 2365751435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71005840AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Family Practice Rick Bobay LLC Nurse Practitioner CurrentSince Jun 1, 2026 Accepting new patients
Total Care Family Practice Rick Bobay LLC Nurse Practitioner PastSince Jun 1, 2026 Accepting new patients

Locations

2516 Waterbridge Way
Evansville, IN 47710
Phone (812) 491-9000

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1083096465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-885-2860",
            "fax_number": "317-885-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-885-2860",
            "fax_number": "317-885-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COURTNEY",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71005840A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005840A",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71005840A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201331220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.