Individual provider Active NPI

Courtney Rose Marie Nelson, NP

  • Acute Care Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1942839634
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ14859400 Issued in NJ
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

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 267253 AZ
Nurse Practitioner 363L00000X 61340 NM
Acute Care Nurse Practitioner 363LA2100X 26654 SC
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X 11686 CT
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
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, NJ9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20201210001454 NM Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 2 organizations
I20210730002059 NV Practitioner - Nurse Practitioner 8729490057
I20220329002769 CA Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 3 organizations
I20220914002699 AZ Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 1 organization
I20230419001216 CT Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 3 organizations
I20230516001375 HI Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 1 organization
I20240709003191 IA Practitioner - Nurse Practitioner 8729490057
I20250114002193 NY Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 1 organization
I20250131000310 NJ Practitioner - Nurse Practitioner 8729490057 Reassigns benefits to 1 organization

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
Unm HospitalGroup PAC ID 7618889528, 394 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

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 Hospital, Elizabeth, NJ, CCN 310027
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Unm Hospital Hospital, Albuquerque, NM, CCN 320001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267253AZMDNurse Practitioner
26NJ14859400NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Multi-Specialty CurrentSince Mar 24, 2022 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 1, 2023 Accepting new patients
University Anesthesia Medical Group Multi-Specialty CurrentSince Mar 24, 2022 Accepting new patients
Midstate Medical Center Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Multi-Specialty Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 24, 2022 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
University of Connecticut Health Center Multi-Specialty CurrentSince Aug 11, 2023 Accepting new patients
Unm Hospital Multi-Specialty CurrentSince Oct 20, 2024 Accepting new patients
App of Southern Arizona HM LLC Multi-Specialty CurrentSince Aug 31, 2022 Accepting new patients
Unm Hospital CurrentSince Oct 20, 2024 Accepting new patients
UCSF Medical Group Business Services Multi-Specialty CurrentSince Mar 24, 2022 Accepting new patients
University of Connecticut Health Center Multi-Specialty CurrentSince Aug 11, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Multi-Specialty CurrentSince May 8, 2023 Accepting new patients
Barnabas Health Medical Group PC Multi-Specialty CurrentSince Nov 28, 2024 Accepting new patients
University of California San Francisco Multi-Specialty Current Accepting new patients
Northwest HBP Medical Services LLC Multi-Specialty CurrentSince May 13, 2024 Accepting new patients
Clifton Springs Sanitarium Co Multi-Specialty CurrentSince Nov 4, 2024 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince May 8, 2023 Accepting new patients
Unm Medical Group Inc Multi-Specialty CurrentSince Oct 29, 2020 Accepting new patients
University of California San Francisco CurrentSince Mar 24, 2022 Accepting new patients
Unm Medical Group, Inc. CurrentSince Oct 29, 2020 Accepting new patients
Midstate Medical Center Multi-Specialty CurrentSince May 1, 2023 Accepting new patients
Barnabas Health Medical Group PC Multi-Specialty CurrentSince Nov 28, 2024 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

  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.