Active NPI
Courtney Michelle Nance, FNP-C
- Family Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5019437
- Practice address
- 4117 Oleander Dr Ste 1B
Wilmington, NC 28403-6821 - Phone
- (910) 202-6988
- NPI assigned
- Jan 16, 2024
- Last updated
- Jan 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | 5019437 | NC | Primary |
Addresses
Primary practice location
4117 Oleander Dr Ste 1B
Wilmington, NC 28403-6821
Mailing address
4117 Oleander Dr Ste 1B
Wilmington, NC 28403-6821
Phone (910) 202-6988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
130 James Ave
Locust, NC 28097-4506
Phone (704) 296-4508
3333 Wrightsville Ave
Suite G129
Wilmington, NC 28403-4115
Phone (276) 730-5919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Postacutenc P.C. | Current | Accepting new patients | |
| Mainstreet and Kidsstreet of North Carolina PLLC | Current | Accepting new patients | |
| Postacutenc Value Care, PC | Past | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
130 James Ave
Locust, NC 28097
Phone (704) 271-3777
3333 Wrightsville Ave
Ste G129
Wilmington, NC 28403
Phone (276) 730-5919
4117 Oleander Dr
Ste 1B
Wilmington, NC 28403
Phone (910) 202-6988
5261 Carrollton Pike
Ste A
Woodlawn, VA 24381
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Locust, NC
- NPI 1144803040
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1144022419
-
- Urgent Care Clinic/Center
- Burlington, NC
- NPI 1043170558
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1457284465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1801657077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 OLEANDER DR STE 1B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036821",
"telephone_number": "910-202-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 OLEANDER DR STE 1B",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036821",
"telephone_number": "910-202-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "COURTNEY",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "5019437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.