COURTNEY NICOLE WILSON (NP) – Family Nurse Practitioner, NPI 1407403348
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for COURTNEY NICOLE WILSON (NP)
209, East State Street, Rockford, Winnebago County, Illinois, 61104, United States
ROCKFORD, IL 611041572
Phone: (815) 988-8500
Fax: (815) 977-5956
Type: Mailing
PO BOX 735379
CHICAGO, IL 606735379
Phone: (563) 340-3782
Fax: (563) 204-4474
Type: Mailing
1130 W 53RD ST
DAVENPORT, IA 528062401
Phone: (563) 340-3782
Fax: (563) 204-4474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200124001743 | I | Nurse Practitioner | IL | TBD |
| I20200604002448 | I | Nurse Practitioner | IA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 561 | 31 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 237 | 85 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 37 | 25 | $0 |
| 99497 | Advance care planning, first 30 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 61104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IN | |
| - | IN | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IN |
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