Individual provider Active NPI

Jordon Courtney, FNP-C

  • Nurse Practitioner
  • Greenwood, IN
National Provider Identifier
1801530852
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71012717A Issued in IN
Practice address
700 US Highway 31 S
Greenwood, IN 46143-2401
Phone
(317) 883-0567
NPI assigned
Apr 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28215993A IN
Nurse Practitioner 363L00000X 71012717A IN Primary

Addresses

Primary practice location

700 US Highway 31 S
Greenwood, IN 46143-2401

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

4903 S Emerson Ave
Indianapolis, IN 46203-5938
Phone (812) 621-1595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220720000375 IN Practitioner - Nurse Practitioner 5395126510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

700 US Hwy 31 S
Greenwood, IN 46143-2401
Phone (317) 883-0567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28215993AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Pic Indiana PC CurrentSince Nov 1, 2022 Accepting new patients
Community Physician Network Urgent Care LLC CurrentSince Jul 12, 2025 Accepting new patients
Nora Urgent Care LLC Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

700 US Highway 31 S
Greenwood, IN 46143
Phone (317) 883-0537

489 S State Road 135
Ste F
Greenwood, IN 46142
Phone (317) 887-7640

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

Interoperability endpoints

  • Direct secure messaging: jwebster315959@ecommunitydirect.com

Organizations & group practices 5

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": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1801530852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 31 S",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461432401",
            "telephone_number": "317-883-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4903 S Emerson Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462035938",
            "country_code": "US",
            "telephone_number": "812-621-1595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "JORDON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28215993A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012717A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.