COURTNEY ROSE MARIE NELSON (NP) – Acute Care Nurse Practitioner, NPI 1942839634

COURTNEY ROSE MARIE NELSON (NP) is a healthcare provider. based in Sonoma, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 267253 (AZ). The NPI Number for COURTNEY ROSE MARIE NELSON (NP) is 1942839634

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY ROSE MARIE NELSON (NP)
NPI
1942839634
Phone
(707) 939-6070
Address
19270 Sonoma Hwy
Enumeration Date
4 April 2020
Last Update Date
24 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9089945500
Graduation Year
2019 (7 years ago)
PAC ID
8729490057
Group Practice PAC ID
9537316955
Professional Enrollment ID
I20250131000310
Address ID
NJ072023625EL225XXSTXX309

Contacts

Secure Messaging
UNMH@direct.health.unm.edu
Secure Messaging
cnelson71086@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:6State licenses:6Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for COURTNEY ROSE MARIE NELSON (NP)

  • 19270 Sonoma Hwy

    Sonoma, CA 95476

    Phone: (707) 939-6070

    Type: Location

  • 4778 CASTEL MARTINI CT

    LAS VEGAS, NV 891478564

    Phone: (701) 426-9042

    Type: Mailing

  • 9300 W SUNSET RD

    LAS VEGAS, NV 891484844

    Phone: (702) 916-5000

    Type: Location

  • 890 W Faris Rd Ste 580

    Greenville, SC 296054281

    Phone: (864) 455-7874

    Fax: (864) 455-8933

    Type: Location

  • 2 Coulter Rd

    Clifton Springs, NY 144321122

    Phone: (315) 462-9561

    Type: Location

  • 225 Williamson St Ste 350

    Elizabeth, NJ 072023625

    Phone: (908) 994-5500

    Fax: (908) 994-5815

    Type: Location

  • 19270 SONOMA HWY

    SONOMA, CA 95476

    Phone: (707) 939-6070

    Type: Mailing

  • 263 FARMINGTON AVENUE

    FARMINGTON, CT 060308063

    Phone: (860) 679-8080

    Fax: (860) 679-1340

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($45).

Total Amount

$77

General + Research + Ownership

Payments

3

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201210001454INurse PractitionerNMTBD
I20210730002059INurse PractitionerNVTBD
I20220329002769INurse PractitionerCATBD
I20220914002699INurse PractitionerAZTBD
I20230419001216INurse PractitionerCTTBD
I20230516001375INurse PractitionerHITBD
I20240709003191INurse PractitionerIATBD
I20250114002193INurse PractitionerNYTBD
I20250131000310INurse PractitionerNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95476)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537316955View full group profile
NameSpecialtyState
-MA
Nurse PractitionerNJ
Nurse PractitionerNJ
Critical Care (Intensivists), Pulmonary DiseaseNJ
-NJ
General SurgeryNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
O B S T E T R I C S/ G Y N E C O L O G YNJ
General SurgeryNY
General SurgeryNJ

Reviews

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Frequently asked questions

What unique ID ties claims to COURTNEY ROSE MARIE NELSON (NP)?
NPI 1942839634 is assigned to COURTNEY ROSE MARIE NELSON (NP) under the national enumeration system.
Is COURTNEY ROSE MARIE NELSON (NP)'s NPI currently valid?
The extract we use shows COURTNEY ROSE MARIE NELSON (NP) as active.
Does COURTNEY ROSE MARIE NELSON (NP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for COURTNEY ROSE MARIE NELSON (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for COURTNEY ROSE MARIE NELSON (NP)?
The page summarizes Sonoma, California for COURTNEY ROSE MARIE NELSON (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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