Individual provider Active NPI

Courtney Issis-Banuelos, CRNP

  • Family Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1295413391
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-162638 Issued in AL
Practice address
5000 Medical West Way Ste 410
Bessemer, AL 35022-7082
Phone
(205) 481-8570
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 1-162638 AL Primary

Addresses

Primary practice location

5000 Medical West Way Ste 410
Bessemer, AL 35022-7082

Mailing address

5000 Medical West Way Ste 410
Bessemer, AL 35022-7082
Phone (205) 481-8570

Other names 1

  • Courtney L Issis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address issis.courtney@direct.uabmw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20241231003336 AL Practitioner - Nurse Practitioner 8820443930 Reassigns benefits to 1 organization

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)

5000 Medical W Way
Suite 410
Bessemer, AL 35022-7082
Phone (205) 481-8670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.67 of 100Reported as apm
Quality
80.18
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

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 1

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1295413391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MEDICAL WEST WAY STE 410",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227082",
            "telephone_number": "205-481-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 MEDICAL WEST WAY STE 410",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227082",
            "telephone_number": "205-481-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSIS-BANUELOS",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-162638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "issis.courtney@direct.uabmw.org",
            "affiliation": "N",
            "address_1": "5000 Medical West Way Ste 410",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350227082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ISSIS",
            "middle_name": "L",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.