Individual provider Active NPI

Courtney A Brush, FNP

  • Nurse Practitioner
  • Ballwin, MO
National Provider Identifier
1366781734
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2012005844 Issued in MO
Practice address
566 Kehrs Mill Rd
Ballwin, MO 63011-3232
Phone
(314) 971-3130
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 2016000450 MO
Nurse Practitioner 363L00000X 2012005844 MO Primary
Registered Nurse 163W00000X 2012005844 MO

Addresses

Primary practice location

566 Kehrs Mill Rd
Ballwin, MO 63011-3232

Mailing address

566 Kehrs Mill Rd
Ballwin, MO 63011-3232
Phone (314) 971-3130

Other practice location 1

607 S New Ballas Rd
Saint Louis, MO 63141-8222
Phone (314) 251-6844

Other practice location 2

10050 Kennerly Rd
Saint Louis, MO 63128-2192
Phone (314) 525-1688

Other names 1

  • Courtney Brush Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170120002489 MO Practitioner - Nurse Practitioner 3678855954 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012005844MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
West County Radiological Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

607 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1366781734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113232",
            "telephone_number": "314-971-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 KEHRS MILL RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113232",
            "telephone_number": "314-971-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418222",
            "country_code": "US",
            "telephone_number": "314-251-6844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10050 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282192",
            "country_code": "US",
            "telephone_number": "314-525-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "COURTNEY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MO",
            "license": "2016000450",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2012005844",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012005844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BRUSH",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.