Individual provider Active NPI

Courtney Lyn Neal, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Wickenburg, AZ
National Provider Identifier
1255015574
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226393 Issued in AZ
Practice address
523 Rose LN
Wickenburg, AZ 85390-1448
Phone
(928) 668-1833
Fax
(928) 684-2434
NPI assigned
Jun 15, 2023
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 226393 AZ Primary

Addresses

Primary practice location

523 Rose LN
Wickenburg, AZ 85390-1448

Mailing address

PO Box 271669
Salt Lake City, UT 84127-1669
Phone (928) 684-4383

Other practice location 1

26750 S Santa Fe Rd
Ste B
Congress, AZ 85332
Phone (928) 668-1833

Other practice location 2

520 Rose Ln
Wickenburg, AZ 85390-1447
Phone (928) 684-5421 ext. 3957

Other practice location 3

32919 N Center St
Wittmann, AZ 85361-9433
Phone (928) 668-1833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240206001823 AZ Practitioner - Nurse Practitioner 4789027897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26750 B S Santa Fe Rd
Congress, AZ 85332-0321
Phone (928) 666-1197

32919 N Ctr St
Suite B
Wittmann, AZ 85361-9433
Phone (928) 666-1197

519 Rose LN
Suite a
Wickenburg, AZ 85390-1448
Phone (928) 684-4365

523 Rose LN
Wickenburg, AZ 85390-1448

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Hospital Association, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Community Hospital Association, Inc. Past Accepting new patients
Identity Hormones LLC PastSince Aug 1, 2023 Accepting new patients

Locations

1395 W Wickenburg Way
Ste A
Wickenburg, AZ 85390

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

32919 N Center St
Wittmann, AZ 85361
Phone (928) 668-1833

Organizations & group practices 4

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 5

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": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1255015574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271669",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841271669",
            "telephone_number": "928-684-4383",
            "fax_number": "928-684-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ROSE LN",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853901448",
            "telephone_number": "928-668-1833",
            "fax_number": "928-684-2434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26750 S Santa Fe Rd",
            "address_2": "Ste B",
            "address_purpose": "LOCATION",
            "city": "CONGRESS",
            "state": "AZ",
            "postal_code": "85332",
            "country_code": "US",
            "telephone_number": "928-668-1833",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Rose Ln",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901447",
            "country_code": "US",
            "telephone_number": "928-684-5421 x3957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32919 N Center St",
            "address_purpose": "LOCATION",
            "city": "Wittmann",
            "state": "AZ",
            "postal_code": "853619433",
            "country_code": "US",
            "telephone_number": "928-668-1833",
            "fax_number": "928-684-2434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "COURTNEY",
        "middle_name": "LYN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-05-07",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

Verify at the official NPI Registry.