Individual provider Active NPI

Courtney Leigh Garrison

  • Nurse Practitioner
  • Maryville, IL
National Provider Identifier
1619833290
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209034618 Issued in IL
Practice address
2401 S Center St
Maryville, IL 62062-5401
Phone
(618) 344-3046
Fax
(618) 344-5284
NPI assigned
Dec 29, 2025
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209034618 IL Primary

Addresses

Primary practice location

2401 S Center St
Maryville, IL 62062-5401

Mailing address

2401 S Center St
Maryville, IL 62062-5401
Phone (618) 344-3046

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgarrison511556@ewd.direct.hshs.org Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20260313000049 IL Practitioner - Nurse Practitioner 8022591452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

2401 S Ctr St
Maryville, IL 62062-5401
Phone (618) 344-3046

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209034618ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
HSHS Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

2401 S Center St
Maryville, IL 62062
Phone (618) 344-3046

7342 State Route 162
Troy, IL 62294
Phone (618) 343-3722

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1619833290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S CENTER ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625401",
            "telephone_number": "618-344-3046",
            "fax_number": "618-344-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S CENTER ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625401",
            "telephone_number": "618-344-3046",
            "fax_number": "618-344-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-29",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209034618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgarrison511556@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CDA/CCD/TXT",
            "address_1": "2401 S Center St",
            "city": "Maryville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620625401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.