Courtney Ann Brockmiller, FNP-BC

Key facts

NPI

1336855428

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

2022056875 (NC)

Practice address

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781

Phone

(859) 380-0213

NPI assigned

Jan 23, 2023

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• SNF Physiatry Services NC PLLC Physical Medicine & Rehabilitation Physician · Durham, NC · NPI 1962230177
  Medicare reassignment Care Compare group NPD NC
• Eventus Wholehealth Aco LLC Geriatric Medicine (Internal Medicine) Physician · Concord, NC · NPI 1023796307
  Medicare reassignment NPD NC
• Eventus WH PLLC Care, LLC Family Medicine Physician · Charlotte, NC · NPI 1639990658
  NPD

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc. Home Health Agency · Salisbury, NC · NPI 1508125816
  Care Compare affiliation Home health agency
• Caresouth HHA Holdings of Lexington LLC Home Health Agency · Lexington, NC · NPI 1851379283
  Care Compare affiliation Home health agency
• Centerwell Certified Healthcare Corp. Home Health Agency · Hickory, NC · NPI 1316974272
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SNF Physiatry Services NC PLLC (12 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency · Salisbury, NC · CCN 347325
• Gentiva Health Services Home health agency · Hickory, NC · CCN 347300
• Enhabit Home Health Home health agency · Lexington, NC · CCN 347206

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2023.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1336855428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253781",
            "telephone_number": "859-380-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMILLER",
        "first_name": "COURTNEY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2022056875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

• Ariel Brittain, MSW, LCSWA
• Daniel James Brittan, PA
• Leon Charles Britton, M.D.
• Carolyn Ann Broadnax
• Camille Brock
• Georgi N. Brockway, MD
• Angela Brooks-Livingston, NCC, LPC
• Cheryl Yvette Brooks, LCSW
• Crystal Yvette Brooks, LCSW
• Jada Brooks

All providers in Concord, NC · Family Nurse Practitioner in North Carolina