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

Courtney Rose Revoir

Individual provider Registered Nurse · NPI 1356116073

Courtney Rose Revoir is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2023, 3 years ago. Practices with Oconto Hospital and Medical Center Inc, a 217-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2605 S Oneida St Ste 107
Green Bay, WI 54304-5331
Phone: (844) 493-1052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14923-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 230013 (WI)

Record details

NPI number1356116073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2023
Last updated in NPPESMarch 14, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Oconto Hospital And Medical Center Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay