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MRS. COURTNEY MOULTRIE FNP
NPI 1760071740
Nurse Practitioner in Fresno, CA

Active since January 13, 2021PECOS EnrolledAccepts Medicare Assignment
1648 E HERNDON AVE, FRESNO, CA 93720(559) 432-7222 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Courtney Moultrie Fnp NPPES

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

MRS. COURTNEY MOULTRIE FNP (NPI 1760071740) is an individual nurse practitioner in Fresno, California, licensed in California (95013368) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760071740
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. COURTNEY MOULTRIECredential: FNP
Location Address1648 E HERNDON AVEFresno, CA 93720-3381
Mailing Address1682 N Broadbent LnClovis, CA 93619-5050
Phone(559) 432-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1760071740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95013368
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.
1648 E HERNDON AVE, Fresno, CA 93720
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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

Mrs. Courtney Moultrie Fnp 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 ID1456742410
PECOS Enrollment IDI20211229002048
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 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 5

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

DUANE Y. NII M.D.
Ophthalmology
1648 E HERNDON AVE, #101
FRESNO, CA 93720
Fresno County (559) 432-2111
BODY DEL SOL MEDICAL SPA
Naturopath
1648 E HERNDON AVE, SUITE 106
FRESNO, CA 93720
Fresno County (559) 432-7222
DUANE Y NII MD INC
Ophthalmology
1648 E HERNDON AVE, #101
FRESNO, CA 93720
Fresno County (559) 432-2111
CATHERINE M. RIOLO MEDICAL CORPORATION
Specialist
1648 E HERNDON AVE, SUITE 102
FRESNO, CA 93720
Fresno County (559) 256-7700
STACY M STEFANOPOULOS N.P.
Nurse Practitioner (Acute Care)
1648 E HERNDON AVE, SUITE 102
FRESNO, CA 93720
Fresno County (559) 256-7700

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 Moultrie's NPI number?

The NPI number for Courtney Moultrie is 1760071740. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Courtney Moultrie located?

Courtney Moultrie practices at 1648 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 432-7222.

What is Courtney Moultrie's specialty?

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

Is Courtney Moultrie enrolled in Medicare?

Yes. Courtney Moultrie 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 Moultrie was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.