Individual provider Active NPI

Courtney Mooney Gregory

  • Primary Care Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1942150818
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
245417 Issued in LA
Practice address
2449 Hospital Dr Ste 200
Bossier City, LA 71111-1905
Phone
(318) 212-7841
Fax
(318) 212-7841
NPI assigned
Jan 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 245417 LA Primary

Addresses

Primary practice location

2449 Hospital Dr Ste 200
Bossier City, LA 71111-1905

Mailing address

2449 Hospital Dr Ste 200
Bossier City, LA 71111-1905
Phone (318) 212-7841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20260319004205 LA Practitioner - Nurse Practitioner 5698259364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Bossier Orthopedic and SportsGroup PAC ID 6406951078, 12 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 340
Bossier City, LA 71111-1912
Phone (318) 212-7841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245417LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Bossier Orthopedic & Sports Past Accepting new patients

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": "1769731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1942150818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111905",
            "telephone_number": "318-212-7841",
            "fax_number": "318-212-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111905",
            "telephone_number": "318-212-7841",
            "fax_number": "318-212-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "COURTNEY",
        "middle_name": "MOONEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "245417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.