Individual provider Active NPI

Courtney Marie Pladsen, RN, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1407110893
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1011717 Issued in DC
Practice address
1220 12TH Street S.E.
Suite 120
Washington, DC 20003-3733
Phone
(202) 715-6572
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1011717 DC
Family Nurse Practitioner 363LF0000X RN1011717 DC Primary

Addresses

Primary practice location

1220 12TH Street S.E.
Suite 120
Washington, DC 20003-3733

Mailing address

1220 12TH Street S.E.
Suite 120
Washington, DC 20003-3733
Phone (202) 715-6572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180502001592 ME Practitioner - Nurse Practitioner 6800034919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Community Health CenterGroup PAC ID 5395998017, 37 clinicians

Practice addresses (Care Compare)

63 Preble St
Portland, ME 04101-3014
Phone (207) 874-2141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Community Health Center CurrentSince Mar 12, 2018 Accepting new patients
Portland Community Health Center Current Accepting new patients
Portland Community Health Center CurrentSince Mar 12, 2018 Accepting new patients

Locations

180 Park Ave
Portland, ME 04102
Phone (207) 772-3703

63 Preble St
Portland, ME 04101
Phone (207) 822-0232

180 Park Ave
Ste 1
Portland, ME 04102
Phone (207) 828-2101

Interoperability endpoints

  • Direct secure messaging: courtney.pladsen.p1@direct.portlandchc.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1407110893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 12TH STREET S.E.",
            "address_2": "SUITE 120",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033733",
            "telephone_number": "202-715-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH STREET S.E.",
            "address_2": "SUITE 120",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033733",
            "telephone_number": "202-715-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLADSEN",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1011717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1011717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.