Courtney Rae Wilson, is a
Nurse Anesthetist, Certified Registered based in Cibolo, Texas. Courtney Rae Wilson is licensed to practice in Texas (license number 1215302) and her current practice location is
182 Tapwood Ln, Cibolo, Texas. She can be reached at her office (for appointments etc.) via phone at
(210) 912-9399.
NPI number for Courtney Rae Wilson is 1174408637 and her current mailing address is 182 Tapwood Ln, Cibolo, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174408637.
Provider's Profile
| Full Name | Courtney Rae Wilson |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 182 Tapwood Ln, Cibolo, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174408637
- Provider Enumeration Date: 08/06/2025
- Last Update Date: 11/13/2025
Medical Identifiers
Medical identifiers for Courtney Rae Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174408637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 1215302 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney Rae Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Courtney Rae Wilson, 182 Tapwood Ln, Cibolo, TX 78108-3186 Ph: (210) 912-9399 | Courtney Rae Wilson, 182 Tapwood Ln, Cibolo, TX 78108-3186 Ph: (210) 912-9399 |
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