Individual provider Active NPI

Courtney Busby, APRN

  • Family Nurse Practitioner
  • Owasso, OK
National Provider Identifier
1568090520
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113580 Issued in OK
Practice address
11760 E 86TH St N
Owasso, OK 74055-2533
Phone
(918) 998-9960
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 113580 OK Primary

Addresses

Primary practice location

11760 E 86TH St N
Owasso, OK 74055-2533

Mailing address

11760 East 86TH St N
Owasso, OK 74055-2130

Other identifiers 1

IdentifierTypeStateIssuer
200901420AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200501000278 OK Practitioner - Nurse Practitioner 4688004856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medwise LLCGroup PAC ID 8820410970, 33 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

11495 S State Hwy 51
Coweta, OK 74429-7138
Phone (918) 727-2780

11760 E 86TH St N
Owasso, OK 74055-2533
Phone (918) 998-9960

505 SE Washington Blvd
Suite B
Bartlesville, OK 74006-8232
Phone (918) 524-9760

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
73.2
Promoting interoperability
100
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113580OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medwise LLC CurrentSince Jun 22, 2021 Accepting new patients
918 Family Wellness PLLC CurrentSince Oct 1, 2024 Accepting new patients
Medwise LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

505 SE Washington Blvd
#B
Bartlesville, OK 74006
Phone (918) 524-9760

14777 S Memorial Dr
Bixby, OK 74008
Phone (918) 727-2820

2550 N 9th St
Broken Arrow, OK 74012
Phone (918) 727-2850

1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2831

11495 S State Highway 51
Coweta, OK 74429
Phone (918) 727-2780

11760 E 86th St N
Owasso, OK 74055
Phone (918) 272-2829

8430 N 123rd East Ave
Owasso, OK 74055
Phone (918) 272-5755

12150 E 96th St N
Ste 200
Owasso, OK 74055

110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2831

32 W Taft Ave
Sapulpa, OK 74066
Phone (918) 727-2790

6336 E Admiral Pl
Tulsa, OK 74115
Phone (918) 727-2830

8105 E 68th St
Tulsa, OK 74133
Phone (918) 727-2810

1520 SW 1st St
Wagoner, OK 74467
Phone (918) 727-2790

Interoperability endpoints

  • Direct secure messaging: courtney.busby.1@21352.direct.athenahealth.com

Organizations & group practices 4

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1568090520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 EAST 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 E 86TH ST N",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552533",
            "telephone_number": "918-998-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSBY",
        "first_name": "COURTNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "113580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200901420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.