Individual provider Active NPI

Courtney Michelle Nance, FNP-C

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1801657077
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5019437 Issued in NC
Practice address
4117 Oleander Dr Ste 1B
Wilmington, NC 28403-6821
Phone
(910) 202-6988
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240518000001 NC Practitioner - Nurse Practitioner 9335580570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Postacutenc PCGroup PAC ID 4789171364, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jan 16, 2024 Accepting new patients
Postacutenc P.C. CurrentSince Oct 1, 2025 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jan 16, 2024 Accepting new patients
Postacutenc Value Care, PC PastSince Oct 1, 2025 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.

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

Verify at the official NPI Registry.