COURTNEY BEARDSLEE (RN, PSYCH NP) – Psychiatric/Mental Health Registered Nurse, NPI 1386431153

COURTNEY BEARDSLEE (RN, PSYCH NP) is a healthcare provider. based in Saint charles, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, PSYCH NP. They hold a License No. 4704307242 (MI). The NPI Number for COURTNEY BEARDSLEE (RN, PSYCH NP) is 1386431153

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
COURTNEY BEARDSLEE (RN, PSYCH NP)
NPI
1386431153
Phone
(810) 931-4718
Address
12637 BISHOP RD
Enumeration Date
23 April 2025
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8102435085
Graduation Year
2025 (1 year ago)
PAC ID
9830697341
Group Practice PAC ID
4981069663
Professional Enrollment ID
I20250813000578
Address ID
MI485072922FL5085XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for COURTNEY BEARDSLEE (RN, PSYCH NP)

  • 12637 BISHOP RD

    SAINT CHARLES, MI 486559630

    Phone: (810) 931-4718

    Mailing address matches the actual address.

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: 2025-08-13

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
I20250813000578INurse 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 48655)

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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: 4981069663View full group profile
NameSpecialtyState
Emergency Medicine, General Practice, Preventive MedicineMI
Mental Health CounselorMI
Nephrology, Addiction Medicine, Internal MedicineMI

Reviews

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Frequently asked questions

Is there an official ID for COURTNEY BEARDSLEE (RN, PSYCH NP) in U.S. healthcare records?
The official identifier for COURTNEY BEARDSLEE (RN, PSYCH NP) is NPI 1386431153.
Is there an active status for COURTNEY BEARDSLEE (RN, PSYCH NP)?
For scheduling context, COURTNEY BEARDSLEE (RN, PSYCH NP) is shown as active in the registry.
What expertise is attributed to COURTNEY BEARDSLEE (RN, PSYCH NP)?
COURTNEY BEARDSLEE (RN, PSYCH NP)'s specialty line reads Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Where in Michigan is COURTNEY BEARDSLEE (RN, PSYCH NP) registered?
Use Saint Charles, Michigan as the headline location for COURTNEY BEARDSLEE (RN, PSYCH NP) here.
Does COURTNEY BEARDSLEE (RN, PSYCH NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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