Individual provider Active NPI

Emilyjo Rena Courterier, NP

  • Family Nurse Practitioner
  • Gaylord, MI
National Provider Identifier
1811545874
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303487 Issued in MI
Practice address
232 W Main St
Gaylord, MI 49735-1347
Phone
(989) 787-0022
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704303487 MI Primary
Family Nurse Practitioner 363LF0000X 360716 NY
Family Nurse Practitioner 363LF0000X APRN11003940 FL

Addresses

Primary practice location

232 W Main St
Gaylord, MI 49735-1347

Mailing address

103 W Main St
Gaylord, MI 49735-1345
Phone (989) 787-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250923002621 MI Order and Referring Only - Family PracticePractitioner - Family Practice 4880925080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ea Medical, PLLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

232 W Main St
Gaylord, MI 49735
Phone (989) 787-0022

Interoperability endpoints

  • Direct secure messaging: emilyjo.courterier.1@28492.direct.athenahealth.com

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1811545874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351345",
            "telephone_number": "989-787-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W MAIN ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351347",
            "telephone_number": "989-787-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTERIER",
        "first_name": "EMILYJO",
        "middle_name": "RENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303487",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "360716",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003940",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.