Courtney F Moberley, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04825 Issued in LA

Practice address

900 Johnson St Ste a
Tallulah, LA 71282-4537

Phone

(318) 574-5080

Fax

(318) 574-5052

NPI assigned

Nov 30, 2005

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Parish Hospital Service DistrictGroup PAC ID 6305854878, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madison Parish Hospital Hospital, Tallulah, LA, CCN 191314

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Parish Hospital Service District

  dba Madison Parish Hospital

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1093834608
  Medicare reassignment Care Compare group NPD
• Madison Parish Hospital Service District

  dba Madison Parish Hospital Rural Health Clinc

  • Rural Health Clinic/Center
  • Tallulah, LA
  • NPI 1053575043
  NPD
• Madison Parish Hospital Service District

  dba Leonard P Neumann Rural Health Clinic

  • Rural Health Clinic/Center
  • Tallulah, LA
  • NPI 1215492137
  NPD

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

• Madison Parish Hospital Service District

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1851393409
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1164406567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHNSON ST STE A",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824537",
            "telephone_number": "318-574-5080",
            "fax_number": "318-574-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNSON ST STE A",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824537",
            "telephone_number": "318-574-5080",
            "fax_number": "318-574-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBERLEY",
        "first_name": "COURTNEY",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722227",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madonna Miller
• Lashanta Mire
• Joey Mitchell
• Miracle Mitchell, LPC
• MJSC Professional Services, LLC
• Donald Moore
• Melanie Morgan
• Arnetria Nash
• Shelia Nash
• Shekeena Neal

• Family Nurse Practitioner in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.