Courtney Lynn Wyatt, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209.024925 Issued in IL

Practice address

1302 Franklin Ave Ste 2200
Normal, IL 61761-6500

Phone

(309) 888-9900

Fax

(309) 888-9919

NPI assigned

Mar 18, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Community Health ClinicGroup PAC ID 7416850318, shared by 4 NPIs, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Thornton and Haas, S.C.

  dba Women for Women

  • Obstetrics & Gynecology Physician
  • Normal, IL
  • NPI 1134398225
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1871242818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 2200",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616500",
            "telephone_number": "309-888-9900",
            "fax_number": "309-888-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 2200",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616500",
            "telephone_number": "309-888-9900",
            "fax_number": "309-888-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209.024925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wright Chiropractic Health Center
• Donald Lee Wright, D.C.
• Sarah Elizabeth Wright, MS, OTR/L
• Shengtian Wu
• Jason Emil Wulf, LATC, CSCS
• Paige Wydola, AUD
• Amy Lynn Yacucci, M.S. CCC-SLP/L
• Liza Carolina Yambay Valiente, M.D.
• Michael Aaron Ybarra, ATC
• You Matter Counseling & Connection PLLC

• Women's Health Nurse Practitioner in Normal, IL
• Providers in Normal, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.

Verify at the official NPI Registry.