Individual provider Active NPI

Courtney Michelle Nelson

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1861216632
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
315379 Issued in AZ
Practice address
7514 E Monterey Way Ste 4
Scottsdale, AZ 85251-6900
Phone
(480) 949-5700
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 315379 AZ Primary

Addresses

Primary practice location

7514 E Monterey Way Ste 4
Scottsdale, AZ 85251-6900

Mailing address

7514 E Monterey Way Ste 4
Scottsdale, AZ 85251-6900
Phone (480) 949-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250228001624 AZ Practitioner - Nurse Practitioner 8426578899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hazelwood Mental HealthGroup PAC ID 8426496845, 2 clinicians

Practice addresses (Care Compare)

7514 E Monterey Way
Suite 4
Scottsdale, AZ 85251-6900
Phone (480) 949-5700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
315379AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hazelwood Mental Health Psychiatric/Mental Health CurrentSince Dec 15, 2024 Accepting new patients

Locations

7514 E Monterey Way
Ste 4
Scottsdale, AZ 85251
Phone (480) 494-9570

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1861216632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 E MONTEREY WAY STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516900",
            "telephone_number": "480-949-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 E MONTEREY WAY STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516900",
            "telephone_number": "480-949-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "315379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.