Individual provider Active NPI

Courtney R Clement, DNP, FNP-BC, APRN

  • Family Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1225558976
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09385 Issued in LA
Practice address
1111 Medical Center Blvd Ste 350
Marrero, LA 70072-3186
Phone
(504) 349-6350
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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 AP09385 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd Ste 350
Marrero, LA 70072-3186

Mailing address

617 Normandy St
Nine Mile Point, LA 70094-3078
Phone (504) 512-1802

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171214002826 LA Practitioner - Nurse Practitioner 8325306673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-2427

1101 Medical Ctr Blvd ER
Marrero, LA 70072-3147
Phone (504) 349-1533

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09385LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince Dec 1, 2017 Accepting new patients

Locations

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

1111 Medical Center Blvd
Ste S350
Marrero, LA 70072
Phone (504) 349-6350

1111 Medical Center Blvd
Ste 3
Marrero, LA 70072

1111 Medical Center Blvd
Ste S
Marrero, LA 70072

1111 Medical Center Blvd
Ste 350
Marrero, LA 70072
Phone (504) 349-6350

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

Organizations & group practices 1

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 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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1225558976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 NORMANDY ST",
            "city": "NINE MILE POINT",
            "state": "LA",
            "postal_code": "700943078",
            "telephone_number": "504-512-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE 350",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723186",
            "telephone_number": "504-349-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "COURTNEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.