Individual provider Active NPI

Courtney Wyatt, DNP, FNP B.C.

  • Family Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1568246395
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024187933 Issued in VA
Practice address
1011 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4808
Phone
(804) 288-2742
NPI assigned
Aug 22, 2023
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 0024187933 VA Primary

Addresses

Primary practice location

1011 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4808

Mailing address

1011 Johnston Willis Dr Ste 200
North Chesterfield, VA 23235-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20231017003204 VA Practitioner - Nurse Practitioner 9537514112 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Care Health Services PCGroup PAC ID 0042382640, 3 clinicians
SNF LTC Partners of VirginiaGroup PAC ID 4789014150, 28 clinicians
Legacy Care Aco LLCGroup PAC ID 3274996426, 36 clinicians
Legacy Care LLCGroup PAC ID 0042458200, 42 clinicians

Practice addresses (Care Compare)

1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310
Phone (804) 530-5293

1776 Cambridge Dr
Richmond, VA 23238-3203
Phone (804) 543-2120

2420 Pemberton Rd
Richmond, VA 23233-2003
Phone (804) 747-9200

2901 S Lynnhaven Rd
Suite 450
Virginia Beach, VA 23452-8524

7600 Autumn Park Way
Mechanicsville, VA 23116-3868
Phone (804) 730-0009

780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 536-2246

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
81.24
Promoting interoperability
99
Improvement activities
40
Cost
85.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Legacy Care Aco LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Virginia Internal Medicine Inc Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
M Medical Group, Inc. Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Legacy Care LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
SNF LTC Partners of Virginia Single Specialty CurrentSince Sep 30, 2025 Accepting new patients
Neurological Associates, Inc. Single Specialty PastSince Feb 17, 1993 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

11611 Robious Rd
Midlothian, VA 23113
Phone (804) 379-4771

9101 Bon Air Crossings Dr
North Chesterfield, VA 23235
Phone (804) 521-9980

1776 Cambridge Dr
Richmond, VA 23238
Phone (804) 368-6474

1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

Interoperability endpoints

  • Direct secure messaging: courtney.wyatt@hca6.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1568246395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354808",
            "telephone_number": "804-288-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "COURTNEY",
        "credential": "DNP, FNP B.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024187933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.