Active NPI
Courtney Rose Marie Nelson, NP
- Acute Care Nurse Practitioner
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 26NJ14859400
- Practice address
- 263 Farmington Avenue
Farmington, CT 06030-8063 - Phone
- (860) 679-8080
- Fax
- (860) 679-1340
- NPI assigned
- Apr 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 267253 | AZ | |
| Nurse Practitioner | 363L00000X | 61340 | NM | |
| Acute Care Nurse Practitioner | 363LA2100X | 26654 | SC | |
| Acute Care Nurse Practitioner | 363LA2100X | 11686 | CT | |
| Acute Care Nurse Practitioner | 363LA2100X | 828148 | NV | |
| Acute Care Nurse Practitioner | 363LA2100X | 26NJ14859400 | NJ | Primary |
Addresses
Primary practice location
263 Farmington Avenue
Farmington, CT 06030-8063
Mailing address
263 Farmington Avenue
Farmington, CT 06030-8063
Phone (860) 679-8080
Other practice location 1
890 W Faris Rd Ste 580
Greenville, SC 29605-4281
Phone (864) 455-7874
Other practice location 2
19270 Sonoma Hwy
Sonoma, CA 95476
Phone (707) 939-6070
Other practice location 3
2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-9561
Other practice location 4
225 Williamson St Ste 350
Elizabeth, NJ 07202-3625
Phone (908) 994-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | cnelson71086@direct.med.uchc.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, NV, CA, AZ, CT, HI, IA, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2644
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (888) 724-7123
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
94 Old Short Hills Rd
Livingston, NJ 07039-5672
Hospital & facility affiliations
- Trinitas Regional Medical Center
- Northwest Medical Center
- Unm Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267253 | AZ | MD | Nurse Practitioner |
| 26NJ14859400 | NJ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Multi-Specialty | Current | Accepting new patients |
| The Hospital of Central Connecticut at New Britain General and Bradley | Current | Accepting new patients | |
| University Anesthesia Medical Group | Multi-Specialty | Current | Accepting new patients |
| Midstate Medical Center | Multi-Specialty | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Multi-Specialty | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| The Hospital of Central Connecticut at New Britain General and Bradley | Multi-Specialty | Current | Accepting new patients |
| University of Connecticut Health Center | Multi-Specialty | Current | Accepting new patients |
| Unm Hospital | Multi-Specialty | Current | Accepting new patients |
| App of Southern Arizona HM LLC | Multi-Specialty | Current | Accepting new patients |
| Unm Hospital | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Multi-Specialty | Current | Accepting new patients |
| University of Connecticut Health Center | Multi-Specialty | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Multi-Specialty | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Multi-Specialty | Current | Accepting new patients |
| University of California San Francisco | Multi-Specialty | Current | Accepting new patients |
| Northwest HBP Medical Services LLC | Multi-Specialty | Current | Accepting new patients |
| Clifton Springs Sanitarium Co | Multi-Specialty | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Unm Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Midstate Medical Center | Multi-Specialty | Current | Accepting new patients |
| Barnabas Health Medical Group PC | Multi-Specialty | Current | Accepting new patients |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
225 Williamson St
Ste 350
Elizabeth, NJ 07202
Phone (908) 994-5500
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
400 Tijeras Ave NW
Ste 450
Albuquerque, NM 87102
Phone (505) 272-0148
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- cnelson71086@direct.med.uchc.edu
Organizations & group practices 25
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
Multi-Specialty
-
- Hospitalist Physician
- New Britain, CT
- NPI 1063461481
Multi-Specialty
-
- General Practice Physician
- Farmington, CT
- NPI 1720083769
Multi-Specialty
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
Multi-Specialty
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
Multi-Specialty
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Multi-Specialty
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
Multi-Specialty
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1134129802
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1770583999
-
- General Acute Care Hospital
- Elizabeth, NJ
- NPI 1790785913
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1942839634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308063",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVENUE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060308063",
"telephone_number": "860-679-8080",
"fax_number": "860-679-1340"
}
],
"practiceLocations": [
{
"address_1": "890 W Faris Rd Ste 580",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054281",
"country_code": "US",
"telephone_number": "864-455-7874",
"fax_number": "864-455-8933",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19270 Sonoma Hwy",
"address_purpose": "LOCATION",
"city": "Sonoma",
"state": "CA",
"postal_code": "95476",
"country_code": "US",
"telephone_number": "707-939-6070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Coulter Rd",
"address_purpose": "LOCATION",
"city": "Clifton Springs",
"state": "NY",
"postal_code": "144321122",
"country_code": "US",
"telephone_number": "315-462-9561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Williamson St Ste 350",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072023625",
"country_code": "US",
"telephone_number": "908-994-5500",
"fax_number": "908-994-5815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "COURTNEY",
"middle_name": "ROSE MARIE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-04",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "267253",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "61340",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "SC",
"license": "26654",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "CT",
"license": "11686",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "NV",
"license": "828148",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NJ",
"license": "26NJ14859400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnelson71086@direct.med.uchc.edu",
"affiliation": "N",
"address_1": "263 Farmington Avenue",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060308063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.