Active NPI
Courtney Nichole Matthews, DNAP, CRNA
- Certified Registered Nurse Anesthetist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 27484
- Practice address
- 25 Courtenay Dr
Charleston, SC 29425-8911 - Phone
- (843) 792-2300
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 27484 | SC | Primary |
Addresses
Primary practice location
25 Courtenay Dr
Charleston, SC 29425-8911
Mailing address
215 Promenade Vista St Apt 2127
Charleston, SC 29412-5116
Phone (228) 243-8580
Other practice location 1
135 Rutledge Ave
Charleston, SC 29425-8911
Phone (843) 792-1414
Other practice location 2
171 Ashley Ave
Charleston, SC 29425-8911
Phone (843) 792-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.15 of 100
- Quality
- 83.18
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27484 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical University Hospital Authority | Current | Accepting new patients | |
| Medical University Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1 Poston Rd
Ste 110
Charleston, SC 29407
Phone (843) 876-1347
135 Rutledge Ave
Charleston, SC 29425
Phone (803) 569-1757
25 Courtenay Dr
Charleston, SC 29425
Phone (843) 792-1952
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
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.
-
- Certified Registered Nurse Anesthetist
- Charleston, SC
- NPI 1255305876
Nurse Anesthetist, Certified Registered
-
- Children's Rehabilitation Hospital
- Charleston, SC
- NPI 1659101277
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1073605879
-
- Rehabilitation Hospital
- Orangeburg, SC
- NPI 1154020147
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1659435840
-
- Psychiatric Hospital
- Orangeburg, SC
- NPI 1669171740
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1710683354
-
- General Acute Care Hospital
- Orangeburg, SC
- NPI 1770280299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1275217630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 PROMENADE VISTA ST APT 2127",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294125116",
"telephone_number": "228-243-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COURTENAY DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258911",
"telephone_number": "843-792-2300"
}
],
"practiceLocations": [
{
"address_1": "135 Rutledge Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258911",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258911",
"country_code": "US",
"telephone_number": "843-792-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTHEWS",
"first_name": "COURTNEY",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "DNAP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "27484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.