Individual provider Active NPI

Courtney Witulski, FNP

  • Family Nurse Practitioner
  • Alpena, MI
National Provider Identifier
1215369434
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704240730 Issued in MI
Practice address
1185 US Highway 23 N
Alpena, MI 49707-8004
Phone
(989) 356-4049
NPI assigned
Jul 31, 2013
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 4704240730 MI Primary

Addresses

Primary practice location

1185 US Highway 23 N
Alpena, MI 49707-8004

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address courtney.witulski.p1@direct.alcona.nextgenshare.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150327001420 MI Practitioner - Nurse Practitioner 3971820176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

1185 US Hwy 23 N
Alcona Health Centers Alpena Servi
Alpena, MI 49707-8004
Phone (989) 356-4049

201 N Ripley Blvd
Alpena Public Schools Ella White El
Alpena, MI 49707-3403
Phone (989) 358-5993

309 W Lake St
Ahc Wildcat Extension
Alpena, MI 49707-2216
Phone (989) 358-3998

3303 S 3Rd Ave
Alpena High School
Alpena, MI 49707-3307
Phone (989) 358-5213

346 Long Rapids PLZ
Alpena, MI 49707-1374
Phone (989) 358-3500

3500 S 3Rd Ave
Alpena Public School Thunder Bay Ju
Alpena, MI 49707-4105
Phone (989) 358-3500

PO Box
Suite 655
Alpena, MI 49707

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1215369434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 US HIGHWAY 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078004",
            "telephone_number": "989-356-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITULSKI",
        "first_name": "COURTNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704240730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.witulski.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1185 US Highway 23 N",
            "city": "Alpena",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497078004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.