Courtney Lea Truax, NP, DNP
Individual provider Active NPI Nurse Practitioner · Wailea, HI
NPI 1386096436 · NPPES record last updated Mar 30, 2025
Key facts
- NPI
- 1386096436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP9413394 (FL)
- Practice address
- 100 Wailea Ike Dr
Wailea, HI 96753-9514 - Phone
- (808) 281-6580
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171025000643 | FL | Practitioner - Nurse Practitioner | 9830465533 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9413394 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Urgent Care & Wellness PL | Current | Accepting new patients | |
| Quality Urgent Care & Wellness PL | Current |
Accepting new patients | |
| Baptist Medical Group LLC | Past |
Accepting new patients |
Locations
514 Mary Esther Cut Off NW
Ft Walton Bch, FL 32548
Phone (850) 226-8550
5115 N Palafox St
Ste 2
Pensacola, FL 32505
5115 N Palafox St
Pensacola, FL 32505
Phone (850) 378-8773
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9413394 | FL | Yes |
Addresses
Primary practice location
100 Wailea Ike Dr
Wailea, HI 96753-9514
Mailing address
5100 N 12TH Ave Ste 101
Pensacola, FL 32504-8919
Other practice location 1
5100 N 12th Ave Ste 101
Pensacola, FL 32504-8919
Phone (850) 208-6130
Other providers in Wailea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.