COURTNEY NICOLE WILSON NP
NPI 1407403348
Nurse Practitioner - Family in Davenport, IA

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
1130 W 53RD ST, DAVENPORT, IA 52806(563) 340-3782(563) 204-4474 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2019, Nov 26, 2019, Aug 26, 2019 (3 updates tracked since 2019).

About Courtney Nicole Wilson Np NPPES

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

COURTNEY NICOLE WILSON NP (NPI 1407403348) is an individual family provider in Davenport, Iowa, licensed in Iowa (A155984) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407403348
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY NICOLE WILSONCredential: NP
Location Address1130 W 53RD STDavenport, IA 52806-2401
Mailing AddressPo Box 735379Chicago, IL 60673-5379 · (563) 340-3782 · Fax (563) 204-4474
Fax(563) 204-4474
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateMarch 13, 20243 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
NPI 1407403348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IA · A155984 Licensed in IL · 209.020089
1130 W 53RD ST, Davenport, IA 52806

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 Wilson Np 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 ID6406281286
PECOS Enrollment IDI20200604002448
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
182 services28 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
116 services38 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
64 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52806 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
1130 W 53RD ST
DAVENPORT, IA 52806
Physical Therapist
1130 W 53RD ST
DAVENPORT, IA 52806
Speech-Language Pathologist
1130 W 53RD ST
DAVENPORT, IA 52806
Speech-Language Pathologist
1130 W 53RD ST
DAVENPORT, IA 52806
Skilled Nursing Facility
1130 W 53RD ST
DAVENPORT, IA 52806
Physical Therapy Assistant
1130 W 53RD ST
DAVENPORT, IA 52806
Occupational Therapist
1130 W 53RD ST
DAVENPORT, IA 52806
Occupational Therapist
1130 W 53RD ST
DAVENPORT, IA 52806

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 Wilson's NPI number?

The NPI number for Courtney Wilson is 1407403348. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Courtney Wilson located?

Courtney Wilson practices at 1130 W 53rd St, Davenport, IA 52806. The listed phone number is (563) 340-3782.

What is Courtney Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Courtney Wilson enrolled in Medicare?

Yes. Courtney Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Courtney Wilson was last updated on March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.