DR. COURTNEY M. SUBUDHI DNP, CNM, FNP, PMHNP
NPI 1669886578
Nurse Practitioner - Psychiatric/Mental Health in Manakin Sabot, VA

Active since June 18, 2014PECOS Enrolled
42 BROAD STREET RD STE 1012, MANAKIN SABOT, VA 23103(804) 376-5319(804) 203-0806 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2026, Nov 19, 2024, Jun 20, 2024 and 7 more (10 updates tracked since 2017).

About Dr. Courtney M. Subudhi Dnp, Cnm, Fnp, Pmhnp NPPES

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

DR. COURTNEY M. SUBUDHI DNP, CNM, FNP, PMHNP (NPI 1669886578) is an individual psychiatric/mental health provider in Manakin Sabot, Virginia, licensed in Virginia (0024173593) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669886578
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. COURTNEY M. SUBUDHICredential: DNP, CNM, FNP, PMHNP
Location Address42 BROAD STREET RD STE 1012Manakin Sabot, VA 23103-2213
Mailing Address42 Broad Street Rd Ste 1012Manakin Sabot, VA 23103-2213 · (804) 376-5319 · Fax (804) 203-0806
Fax(804) 203-0806
Sole ProprietorNo
Enumeration DateJune 18, 2014
Last NPPES UpdateJune 10, 202610 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1669886578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in VA · 0024173593✔ Licensed in NC · 5021909✔ Licensed in FL · TPAN3132
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024173593 (VA), TPAN3132 (FL), 5021909 (NC)
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 0024173593 (VA)
42 BROAD STREET RD STE 1012, Manakin Sabot, VA 23103

Secondary Practice Locations 4

Location 17515 Falcon Crest DrRedmond, OR 97756-5014 · Phone (804) 376-5319
Location 27901 4th St N Ste 24658St Petersburg, FL 33702-4305 · Phone (804) 376-5319 · Fax (804) 203-0806
Location 34620 Cedar Ave Ste 117Wilmington, NC 28403-4423 · Phone (804) 376-5319 · Fax (804) 203-0806
Location 413710 St Francis BlvdMidlothian, VA 23114-3267 · Phone (804) 564-1971

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Courtney M. Subudhi Dnp, Cnm, Fnp, Pmhnp 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Courtney Subudhi reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Counselor
8814 FARGO RD STE 125
Richmond, VA 23229
  • Reassigned Medicare billing, Virginia enrollment
  • 3 clinicians in this Medicare group
Obstetrics & Gynecology
13700 ST FRANCIS BLVD, SUITE 100
Midlothian, VA 23114
  • Reassigned Medicare billing, Virginia enrollment
  • 315 clinicians in this Medicare group
Obstetrics & Gynecology
8239 MEADOWBRIDGE RD
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 63 clinicians in this Medicare group
Psychiatry
21001 SYCOLIN ROAD, STE 360
Ashburn, VA 20147
  • Reassigned Medicare billing, Virginia enrollment
  • 5 clinicians in this Medicare group
Hospitalist
44045 RIVERSIDE PKWY
Leesburg, VA 20176
  • Reassigned Medicare billing, Virginia enrollment
  • 59 clinicians in this Medicare group
Psychiatric/Mental Health
4803 FREMONT AVE N
Seattle, WA 98103
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23103 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Subudhi's NPI number?

The NPI number for Courtney Subudhi is 1669886578. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Courtney Subudhi located?

Courtney Subudhi practices at 42 Broad Street Rd Ste 1012, Manakin Sabot, VA 23103. The listed phone number is (804) 376-5319.

What is Courtney Subudhi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Courtney Subudhi enrolled in Medicare?

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

Which organizations bill Medicare for Courtney Subudhi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Subudhi reassigns Medicare benefits to 6 organizations: Therapeutic Counseling & Consulting LLC (Richmond, VA), Obhg Virginia, LLC (Midlothian, VA), Dominion Women's Health, Inc. (Mechanicsville, VA), Sterling Behavioral Health Services (Ashburn, VA), Dhp Of Virginia PC (Leesburg, VA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Subudhi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Subudhi accept?

Health plans from Blue Cross and Blue Shield of NC, BridgeSpan Health Company, Oscar Health, Oscar Health Plan of North Carolina, Inc and Regence BlueCross BlueShield of Oregon and 1 other insurer list Courtney Subudhi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Subudhi was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.