Courtney Lynn Prochaska, CPNP-PC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704285287 Issued in MI

Practice address

24 Frank Lloyd Wright Dr Ste L2200
Ann Arbor, MI 48105-9484

Phone

(734) 930-4020

NPI assigned

Aug 16, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: courtney.prochaska.1@11144.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11144/brand/1/csg/1/fhir/r4

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.

• Emmaus Health Partners

  • Multi-Specialty Clinic/Center
  • Ann Arbor, MI
  • NPI 1851870653
  NPD (past)

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1881477487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE L2200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-930-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE L2200",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-930-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHASKA",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704285287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Pritchard, PH.D.
• Stephanie Lynn Pritula, NP
• Laura Marie Pritz, PA-C
• Franklin McNeill Privette, MD
• Stephanie Anne Probert
• Ian Roger Prochaska, PA-C
• Maggie Prochaska
• Zachary Wayne Prochaska, PA-C
• Sandra G Prochazka, LMSW
• Iris Marie Proctor, LLMSW

• Primary Care Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.