Active NPI
Courtney L Burrus, WHNP-BC
- Women's Health Nurse Practitioner
- Mooresville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 71005655A
- Practice address
- 1199 Hadley Rd Ste 102
Mooresville, IN 46158-1788 - Phone
- (317) 584-3454
- Fax
- (877) 245-5768
- NPI assigned
- Aug 12, 2015
- Last updated
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 71005655A | IN | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 28192069A | IN |
Addresses
Primary practice location
1199 Hadley Rd Ste 102
Mooresville, IN 46158-1788
Mailing address
11595 N Meridian St Ste 375
Carmel, IN 46032-3950
Phone (317) 575-7304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71005655A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005655A | IN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Hills OB-GYN Associates LLC | Women's Health | Current | Accepting new patients |
| Seven Hills OB-GYN Associates, LLC | Women's Health | Current | Accepting new patients |
| Obstetrics & Gynecology of Indiana, LLC | Past | Accepting new patients |
Locations
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
11595 N Meridian St
Ste 375
Carmel, IN 46032
Phone (317) 575-7304
8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600
1199 Hadley Rd
Ste 102
Mooresville, IN 46158
Phone (317) 584-3454
1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454
6866 W Stonegate Dr
Ste 102
Zionsville, IN 46077
Phone (317) 415-1000
Interoperability endpoints
- courtney.burrus@axia.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
dba Axia Women's Health Midwest Laboratory
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
Women's Health
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
Women's Health
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1942290143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1336515428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11595 N MERIDIAN ST STE 375",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323950",
"telephone_number": "317-575-7304",
"fax_number": "317-575-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1199 HADLEY RD STE 102",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461581788",
"telephone_number": "317-584-3454",
"fax_number": "877-245-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRUS",
"first_name": "COURTNEY",
"middle_name": "L",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-12",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IN",
"license": "71005655A",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "IN",
"license": "28192069A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "71005655A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.