Courtney Miller, NP
Individual provider Active NPI Family Nurse Practitioner · Newton, IL
NPI 1407211568 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1407211568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209013689 (IL)
- Practice address
- 807 W Jourdan St
Newton, IL 62448-1059 - Phone
- (618) 783-3800
- Fax
- (618) 783-5070
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarah Bush Lincoln Health Center
Practice addresses (Care Compare)
807 W Jourdan St
Newton, IL 62448-1059
Phone (618) 783-3800
Hospital & facility affiliations
- Sarah Bush Lincoln Home Care
- Sarah Bush Lincoln Health Center
- St Anthonys Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20160202001818 | IL | Practitioner - Nurse Practitioner | 8628372257 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013689 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Illinois Medical Care Associates, LLC | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current |
Accepting new patients |
Locations
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
807 W Jourdan St
Newton, IL 62448
Phone (618) 783-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013689 | IL | Yes |
Addresses
Primary practice location
807 W Jourdan St
Newton, IL 62448-1059
Mailing address
1106 N Merchant St
P.O. Box 665
Effingham, IL 62401-2128
Phone (217) 342-7000
Other providers in Newton, IL
- Sarah McWhorter
- Jade N Mellen
- Anna Rose Mette
- Mid-Illinois Medical Care Associates, LLC
- Mid-Illinois Medical Care Associates, LLC
- Jessica Rae Miller
- Nichole Ann Mulvey
- Shania Grace Newlin
- Newton Care Center, LLC
- Northland Hearing Centers, Inc.
All providers in Newton, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.