Individual provider Active NPI

Courtney Melinyk Hartzog, LPN

  • Licensed Practical Nurse
  • Milwaukee, WI
National Provider Identifier
1245912401
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
324906 Issued in WI
Practice address
1936 N 37TH St
Milwaukee, WI 53208-1801
Phone
(414) 208-3428
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 324906 WI Primary

Addresses

Primary practice location

1936 N 37TH St
Milwaukee, WI 53208-1801

Mailing address

1936 N 37TH St
Milwaukee, WI 53208-1801
Phone (414) 208-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Middleton, WI 53562
Phone (414) 208-3428

1936 N 37TH St
Milwaukee, WI 53208-1801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
324906WIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Meecie LLC Licensed Practical Nurse Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1245912401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081801",
            "telephone_number": "414-208-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 N 37TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081801",
            "telephone_number": "414-208-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZOG",
        "first_name": "COURTNEY",
        "middle_name": "MELINYK",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "324906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.