Individual provider Active NPI

Courtney Mook, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Louisville, OH
National Provider Identifier
1063167237
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030766 Issued in OH
Practice address
1917 Williamsburg Way NE
Louisville, OH 44641-8781
Phone
(330) 875-3366
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030766 OH Primary

Addresses

Primary practice location

1917 Williamsburg Way NE
Louisville, OH 44641-8781

Mailing address

5344 Grovewood LN
Medina, OH 44256-6569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510002258 OH Practitioner - Nurse Practitioner 2860879939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

1917 Williamsburg Way NE
Louisville, OH 44641-8781
Phone (330) 875-3366

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0030766OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc CurrentSince Mar 7, 2022 Accepting new patients
Pioneer Physicians Network, Inc. CurrentSince Mar 7, 2022 Accepting new patients

Locations

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

1917 Williamsburg Way NE
Louisville, OH 44641
Phone (330) 875-3366

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA
  • Direct secure messaging: courtney.mook@ppn.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1063167237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 GROVEWOOD LN",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 WILLIAMSBURG WAY NE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446418781",
            "telephone_number": "330-875-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOK",
        "first_name": "COURTNEY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, OH

Sources for this page

Verify at the official NPI Registry.