Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney M Collien

Individual provider Adult Health Nurse Practitioner · NPI 1124443726

Courtney M Collien is a Nurse Practitioner in Fond Du Lac, Wisconsin. Qualified in 2013, 13 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

889 E Johnson St
Fond Du Lac, WI 54935-2933
Phone: (920) 367-6700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5691 (WI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 166270 (WI)

Record details

NPI number1124443726
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2014
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fond Du Lac