COURTNEY NICOLE HOUSE (APRN) – Adult Health Nurse Practitioner, NPI 1114470549

COURTNEY NICOLE HOUSE (APRN) is a healthcare provider. based in Texarkana, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004849 (AR). The NPI Number for COURTNEY NICOLE HOUSE (APRN) is 1114470549

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY NICOLE HOUSE (APRN)
NPI
1114470549
Phone
(870) 299-2052
Address
17021 BROADLEAF
Enumeration Date
2 August 2016
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016645860
Graduation Year
2016 (10 years ago)
PAC ID
2163717307
Group Practice PAC ID
6204004815
Professional Enrollment ID
I20220316003393
Address ID
TX755034670TE3930XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:9State licenses:3Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for COURTNEY NICOLE HOUSE (APRN)

  • 17021 BROADLEAF

    TEXARKANA, TX 755039663

    Phone: (870) 299-2052

    Type: Mailing

  • PO BOX 629

    MAGNOLIA, AR 71754

    Phone: (870) 235-3555

    Type: Mailing

  • 1701 S SHACKLEFORD RD

    LITTLE ROCK, AR 722114335

    Phone: (501) 219-7000

    Type: Location

  • 104, Hospital Drive, Magnolia, Columbia County, Arkansas, 71753, United States

    MAGNOLIA, AR 71753

    Phone: (870) 235-3555

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $1,566.

Total Amount is formed as General ($1,566) + Research ($0) + Ownership ($0) = $1,566.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: PFIZER INC. ($456).

Total Amount

$1,566

General + Research + Ownership

Payments

90

Total payment records

General Amount

$1,566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2022-03-16

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160826000400INurse PractitionerARTBD
I20220316003393INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,015598$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing877607$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only877606$0
93793Anticoagulant management of patient taking warfarin19318$0
85610Blood test, clotting time13713$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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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: 6204004815View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineAR
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Cardiovascular Disease (Cardiology), Internal MedicineTX
Internal Medicine, Cardiovascular Disease (Cardiology)AR
Physician AssistantAR
Nurse PractitionerAR
Nurse PractitionerAR
General SurgeryLA
Cardiovascular Disease (Cardiology), Cardiac Electrophysiology, Internal MedicineVA
Nurse PractitionerAR
General Surgery, Cardiac Surgery, Vascular SurgeryAR

Reviews

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Frequently asked questions

Is COURTNEY NICOLE HOUSE (APRN) listed with a National Provider Identifier?
Yes — COURTNEY NICOLE HOUSE (APRN) has NPI 1114470549 on file in the registry.
Would COURTNEY NICOLE HOUSE (APRN) appear as active to a payer?
You can treat COURTNEY NICOLE HOUSE (APRN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is COURTNEY NICOLE HOUSE (APRN)?
COURTNEY NICOLE HOUSE (APRN) is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for COURTNEY NICOLE HOUSE (APRN)?
Travel planning: use Texarkana, Texas as the reference point for COURTNEY NICOLE HOUSE (APRN), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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