Active NPI
Courtney Wyatt, DNP, FNP B.C.
- Family Nurse Practitioner
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024187933
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Group, Inc. | Current | Accepting new patients | |
| Legacy Care Aco LLC | Single Specialty | Current | Accepting new patients |
| Virginia Internal Medicine Inc | Single Specialty | Current | Accepting new patients |
| M Medical Group, Inc. | Single Specialty | Current | Accepting new patients |
| Legacy Care LLC | Single Specialty | Current | Accepting new patients |
| SNF LTC Partners of Virginia | Single Specialty | Current | Accepting new patients |
| Neurological Associates, Inc. | Single Specialty | Past | 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
- 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.
-
- Internal Medicine Physician
- Chester, VA
- NPI 1831158401
-
- Internal Medicine Physician
- Ashburn, VA
- NPI 1740525245
Single Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
Single Specialty, VA
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.