Individual provider Active NPI

Courtney Nicole Carlson, APRN

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1366084394
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000082 Issued in FL
Practice address
1400 N US Highway 441 Ste 540
The Villages, FL 32159-8987
Phone
(352) 753-9777
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11000082 FL Primary
Nurse Practitioner 363L00000X APRN11000082 FL

Addresses

Primary practice location

1400 N US Highway 441 Ste 540
The Villages, FL 32159-8987

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

601 E Dixie Ave Ste 1001
Leesburg, FL 34748-7309
Phone (352) 787-9448

Other practice location 2

2955 Brownwood Blvd Ste 107
The Villages, FL 32163-2040
Phone (352) 765-7100

Other identifiers 1

IdentifierTypeStateIssuer
014926706MedicaidFL

Other names 1

  • Courtney Nicole Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191121002619 FL Practitioner - Nurse Practitioner 4981036464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

601 E Dixie Avenue
1001 Florida Cancer Specialists PL
Leesburg, FL 34748-7309
Phone (352) 787-9448

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Oct 21, 2019 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500

601 E Dixie Ave
Ste 1001
Leesburg, FL 34748
Phone (352) 787-9448

4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244

2955 Brownwood Blvd
Ste 107
The Villages, FL 32163
Phone (352) 765-7100

1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1366084394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 540",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-753-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Dixie Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347487309",
            "country_code": "US",
            "telephone_number": "352-787-9448",
            "fax_number": "352-787-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Brownwood Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321632040",
            "country_code": "US",
            "telephone_number": "352-765-7100",
            "fax_number": "352-430-0210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000082",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000082",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014926706",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ALLEN",
            "middle_name": "NICOLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.