Individual provider Active NPI

Courtney Lynn Novella, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Edna, TX
National Provider Identifier
1851135180
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1167482 Issued in TX
Practice address
1013 S Wells St
Edna, TX 77957-4045
Phone
(361) 782-7820
NPI assigned
Jun 21, 2024
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1167482 TX Primary

Addresses

Primary practice location

1013 S Wells St
Edna, TX 77957-4045

Mailing address

541 County Road 319
Edna, TX 77957-4994
Phone (361) 235-0427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240716003149 TX Practitioner - Nurse Practitioner 6204371024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Hospital District Current Accepting new patients
Jackson County Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Jackson County Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1013 S Wells St
#A
Edna, TX 77957
Phone (361) 782-3560

1013 S Wells St
#B
Edna, TX 77957
Phone (361) 782-7800

1013 S Wells St
Ste B
Edna, TX 77957

1013A S Wells St
Edna, TX 77957
Phone (361) 782-3560

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": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1851135180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 COUNTY ROAD 319",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574994",
            "telephone_number": "361-235-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELLA",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edna, TX

Sources for this page

Verify at the official NPI Registry.