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COURTNEY MELINYK HARTZOG LPN
NPI 1245912401
Licensed Practical Nurse in Milwaukee, WI

Active since August 07, 2023PECOS Enrolled
1936 N 37TH ST, MILWAUKEE, WI 53208(414) 208-3428 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2026, Aug 7, 2023 (2 updates tracked since 2023).

About Courtney Melinyk Hartzog Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY MELINYK HARTZOG LPN (NPI 1245912401) is an individual licensed practical nurse in Milwaukee, Wisconsin, licensed in Wisconsin (324906) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245912401
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCOURTNEY MELINYK HARTZOGCredential: LPN
Location Address1936 N 37TH STMilwaukee, WI 53208-1801
Mailing Address1936 N 37th StMilwaukee, WI 53208-1801 · (414) 208-3428
Phone(414) 208-3428
Sole ProprietorYes
Enumeration DateAugust 7, 2023
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1245912401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WI · 324906
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1936 N 37TH ST, Milwaukee, WI 53208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Melinyk Hartzog Lpn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEECIE LLC
Licensed Practical Nurse
1936 N 37TH ST
MILWAUKEE, WI 53208
Milwaukee County (414) 208-3428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Hartzog's NPI number?

The NPI number for Courtney Hartzog is 1245912401. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Courtney Hartzog located?

Courtney Hartzog practices at 1936 N 37th St, Milwaukee, WI 53208. The listed phone number is (414) 208-3428.

What is Courtney Hartzog's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Is Courtney Hartzog enrolled in Medicare?

Yes. Courtney Hartzog is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Courtney Hartzog was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.