Courtney N Pitt, RN FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2011016062 Issued in MO

Practice address

1401 North Jefferson
Carrollton, MO 64633-1948

Phone

(660) 542-3900

Fax

(660) 542-3902

NPI assigned

May 27, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Memorial HospitalGroup PAC ID 2860485638, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll County Memorial Hospital Hospital, Carrollton, MO, CCN 261332
• Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309

Merit-based Incentive Payment System (MIPS)

Final score

69.76 of 100Reported as group

Quality

46.12

Promoting interoperability

100

Improvement activities

40

Cost

53.08

Merit-based Incentive Payment System (MIPS)

Final score

82.56 of 100Reported as group

Quality

76.07

Promoting interoperability

100

Improvement activities

40

Cost

65.79

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cpitt102113@direct.saint-lukes.org
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113
  Medicare reassignment Care Compare group
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Medicare reassignment NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Emergency Medicine Physician
  • Chillicothe, MO
  • NPI 1245433127
  Medicare reassignment NPD
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD
• Saint Luke's Hospital of Trenton

  dba Saint Luke's Mercer County Clinic

  • Rural Health Clinic/Center
  • Princeton, MO
  • NPI 1962877514

  Family

  NPD
• Saint Luke's Physician Group Inc

  dba Saint Luke's Medical Group

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717
  NPD
• Saint Lukes Hospital of Chillicothe

  dba Hedrick Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Chillicothe, MO
  • NPI 1881638203
  NPD
• Ascentist Physicians Group, LLC

  dba Ascentist Healthcare

  • Otolaryngology Physician
  • Lee's Summit, MO
  • NPI 1649206319
  NPD (past)

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

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113
  Care Compare affiliation
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057
  Care Compare affiliation

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1073806758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NORTH JEFFERSON",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-3900",
            "fax_number": "660-542-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NORTH JEFFERSON",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-3900",
            "fax_number": "660-542-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITT",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "credential": "RN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2007014393",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011016062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Marie Liebhart, LCSW
• Dana J Livsey, LCSW
• Kelsey Lyon, PHARMD
• Katie Moore, DC
• Richard Lynn Newcomb, OD
• Platz Enterprises Inc. (Hometown Pharmacy)
• Platz Enterprises Inc. (Hometown Pharmacy)
• Jennifer Rose Poston, O.D.
• John Samuel Poston Jr., D.D.S.
• Pamela Lynn Ralls, M.D.

• Family Nurse Practitioner in Carrollton, MO
• Providers in Carrollton, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.