| Courtney Nicole Wilson, NP | |
|
1130 W 53rd St, Davenport, IA 52806-2401 | |
| (563) 340-3782 | |
| (563) 204-4474 |
| Full Name | Courtney Nicole Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1130 W 53rd St, Davenport, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407403348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.020089 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A155984 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Karefirst Iowa Pc | 0749590826 | 8 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Karefirst Iowa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942676945 PECOS PAC ID: 0749590826 Enrollment ID: O20151102000496 |
| Entity Name | Provider Partners Care Management Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20250225003141 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Nicole Wilson, NP Po Box 735379, Chicago, IL 60673-5379 Ph: (563) 340-3782 | Courtney Nicole Wilson, NP 1130 W 53rd St, Davenport, IA 52806-2401 Ph: (563) 340-3782 |
Julia Christine Sass, ARNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 W Central Park Ave, Davenport, IA 52804 Phone: 563-383-1900 | |
Rachel Diane Hart, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2010 E 38th St Ste 205, Davenport, IA 52807 Phone: 319-800-5564 | |
Shanna R Spies, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2705 E 53rd St, Davenport, IA 52807 Phone: 563-362-3052 Fax: 563-362-3059 | |
Mrs. Andrea R Archer, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-7198 Fax: 563-421-7159 | |
Caroline Sidlinger, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1345 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4400 | |
Julia A Hull, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1351 W Central Park Ave, Suite 360, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285 | |
Pamela Prince, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3200 W Kimberly Rd, Davenport, IA 52806 Phone: 309-912-8710 |