Courtney Rose-Meyer Smith, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007239 Issued in MI

Practice address

14755 215TH Ave
Big Rapids, MI 49307-9224

Phone

(231) 796-3200

NPI assigned

Jan 2, 2015

Last updated

Aug 12, 2024By 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 1

Addresses

Other names 1

• Ms. Courtney Rose-Meyer McCotter Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.smith.1@14940.direct.athenahealth.com
• Direct secure messaging: courtney.smith.1@32993.direct.athenahealth.com
• Direct secure messaging: csmith253918@epic00.shdirect.org
• FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

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.

• Grand Primary Care PC

  • Family Medicine Physician
  • Grandville, MI
  • NPI 1780475475
  Medicare reassignment Authorized official
• Reed City Hospital Corporation

  dba Corewell Health Reed City Hospital Professional

  • Family Medicine Physician
  • Reed City, MI
  • NPI 1831253798
  Medicare reassignment NPD
• Spectrum Health United

  dba Corewell Health Greenville Hospital

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Medicare reassignment NPD
• Mecosta County Medical Center

  dba Spectrum Health Big Rapids Hospital

  • Cardiovascular Disease Physician
  • Big Rapids, MI
  • NPI 1386693471
  Medicare reassignment
• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  NPD
• Mecosta County Medical Center

  dba Spectrum Health Big Rapids OB/Gyn

  • Obstetrics & Gynecology Physician
  • Big Rapids, MI
  • NPI 1891075479
  NPD
• Reed City Hospital Corporation

  dba Spectrum Health Reed City Hospital Nurse Practitioners

  • General Practice Registered Nurse
  • Reed City, MI
  • NPI 1366735219
  NPD
• Spectrum Health United

  dba Corewell Health Greenville Hospital Professional

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1063781342
  NPD
• Dayone City Care

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1659771426

  Medical

  NPD (past)

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1245628098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14755 215TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079224",
            "telephone_number": "231-796-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "middle_name": "ROSE-MEYER",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "MCCOTTER",
            "middle_name": "ROSE-MEYER",
            "prefix": "MS.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kirstin Lynn Sims, RPH
• Danielle Marie Sissell
• Christopher G Skinner, MD
• Adam Bradley Smith, PHARMD
• Ashley Ann Smith
• Erin Elise Smith, MS RDN
• Jerelyn Marie Smith, RDH, MSDH, CDA
• Chelsea Marie Snavley, PA-C
• Willem Bartholomeus Snyman, PT
• Spectrum Health Hospital

• Physician Assistant in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.