COURTNEY MARIE HETTEL – Family Nurse Practitioner, NPI 1003520909

COURTNEY MARIE HETTEL is a healthcare provider. based in Davison, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704361174 (MI). The NPI Number for COURTNEY MARIE HETTEL is 1003520909

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY MARIE HETTEL
NPI
1003520909
Phone
(810) 338-7696
Address
9110 Magnolia Ct
Enumeration Date
6 January 2023
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107422544
Graduation Year
2023 (3 years ago)
PAC ID
8426411836
Group Practice PAC ID
3678536398
Professional Enrollment ID
I20230901001614
Address ID
MI485191101BUG2065RDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for COURTNEY MARIE HETTEL

  • 9110 Magnolia Ct

    Davison, MI 484232088

    Phone: (810) 338-7696

    Type: Location

  • 2065 SOUTH CENTER RD

    BURTON, MI 48519

    Phone: (810) 235-2004

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $760.

Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($172).

Total Amount

$760

General + Research + Ownership

Payments

52

Total payment records

General Amount

$760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2023-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20230901001614INurse PractitionerMITBD

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 48423)

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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: 3678536398View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-TX
Nurse PractitionerMI
Nurse PractitionerMI
P O D I A T R YMI
Internal MedicineMI
C H I R O P R A C T I CMI
Physician AssistantMI

Reviews

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Frequently asked questions

Is COURTNEY MARIE HETTEL listed with a National Provider Identifier?
Yes — COURTNEY MARIE HETTEL has NPI 1003520909 on file in the registry.
Is COURTNEY MARIE HETTEL shown as active in public data?
Registry records indicate COURTNEY MARIE HETTEL maintains an active NPI.
What clinical focus is listed for COURTNEY MARIE HETTEL?
At a glance, COURTNEY MARIE HETTEL is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is COURTNEY MARIE HETTEL located near Davison?
COURTNEY MARIE HETTEL currently maps to Davison, Michigan in this extract.
Can I trust this NPI listing for COURTNEY MARIE HETTEL?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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