COURTNEY NICOLE PHILLIPS
NPI 1356975734
Nurse Practitioner in West Columbia, SC

Q: What is Courtney Phillips's NPI number?

The NPI number for Courtney Phillips is 1356975734. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Q: What is Courtney Phillips's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Phillips was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment

80.28/100

CMS Quality Rating

146 E HOSPITAL DR STE 140, WEST COLUMBIA, SC 29169(803) 936-7076(803) 936-7925 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Jan 24, 2022, Feb 25, 2020 (3 updates tracked since 2020).

On this page

About Courtney Nicole Phillips NPPES

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

COURTNEY NICOLE PHILLIPS (NPI 1356975734) is an individual nurse practitioner in West Columbia, South Carolina, licensed in South Carolina (28198) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pensacola, and is a graduate of University Of Alabama School Of Medicine (2021).

NPPES Registry Identity

NPI1356975734

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCOURTNEY NICOLE PHILLIPS

Location Address146 E HOSPITAL DR STE 140West Columbia, SC 29169-4800

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091

Phone(803) 936-7076

Fax(803) 936-7925

Sole ProprietorYes

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2021

Enumeration DateFebruary 25, 2020

Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1356975734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in SC · 28198✔ Licensed in FL · APRN11016833

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

146 E HOSPITAL DR STE 140, West Columbia, SC 29169

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Secondary Practice Location 1

Location 15151 N 9th AvePensacola, FL 32504-8721 · Phone (850) 416-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Nicole Phillips is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153713052

PECOS Enrollment IDI20240702000217

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.14

Promoting Interoperability

100

Improvement Activities

Cost

58.14

Other Providers at the Same Location NPPES 9

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

SHELCEY HUSSEY FNP-BC

Nurse Practitioner