Individual provider Active NPI

Courtni Andrus, N.P.

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1982903894
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
729078 Issued in TX
Practice address
2701 S Georgia St
Amarillo, TX 79109-1979
Phone
(806) 350-8969
Fax
(806) 355-2453
NPI assigned
Mar 17, 2011
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 729078 TX Primary

Addresses

Primary practice location

2701 S Georgia St
Amarillo, TX 79109-1979

Mailing address

2701 S Georgia St
Amarillo, TX 79109-1979
Phone (806) 350-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110617000423 TX Practitioner - Nurse Practitioner 5991983157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC Medical Foundation, Inc.Group PAC ID 9133341795, 37 clinicians

Practice addresses (Care Compare)

2701 S Georgia St
Amarillo, TX 79109-1979
Phone (806) 350-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc Past Accepting new patients
FMC Medical Foundation, Inc. Past Accepting new patients
Family Medicine Centers Lab L P Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: courtni.andrus.1@33715.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1982903894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091979",
            "telephone_number": "806-350-8969",
            "fax_number": "806-355-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091979",
            "telephone_number": "806-350-8969",
            "fax_number": "806-355-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "COURTNI",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "729078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.