Individual provider Active NPI

Courtney Lynn McAvinew, FNP-C

  • Family Nurse Practitioner
  • South Euclid, OH
National Provider Identifier
1407335359
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06182588 Issued in OH
Practice address
1611 S Green Rd Ste 237
South Euclid, OH 44121-4121
Phone
(216) 291-0311
Fax
(216) 291-1334
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 F06182588 OH Primary

Addresses

Primary practice location

1611 S Green Rd Ste 237
South Euclid, OH 44121-4121

Mailing address

958 Congress Lake Rd
Mogadore, OH 44260-9687
Phone (330) 807-7842

Other practice location 1

960 Clague Rd Ste 2460
Westlake, OH 44145-1585
Phone (440) 250-2835

Other practice location 2

3909 Orange Pl Ste 4100
Beachwood, OH 44122-4480
Phone (216) 896-1800

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address courtneymcavinew@uhps.allscriptsdirect.net
Direct Messaging Address courtneymcavinew@uhps.allscriptsdirect.net
Direct Messaging Address courtneymcavinew@uhps.allscriptsdirect.net

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
I20180904001820 OH Practitioner - Nurse Practitioner 3678823150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • University Hospitals Ahuja Medical Center Hospital, Beachwood, OH, CCN 360359

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06182588OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc CurrentSince Jun 1, 2019 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

395 E Market St
Akron, OH 44304
Phone (330) 762-8959

3909 Orange Pl
Ste 4100
Beachwood, OH 44122
Phone (216) 896-1800

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

1611 S Green Rd
Ste 237
South Euclid, OH 44121
Phone (216) 291-0311

960 Clague Rd
Ste 2460
Westlake, OH 44145
Phone (216) 844-7191

Interoperability endpoints

  • Direct secure messaging: cmcavinew27921@ehrdirect.uhhospitals.org

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 5

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1407335359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 CONGRESS LAKE RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609687",
            "telephone_number": "330-807-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S GREEN RD STE 237",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441214121",
            "telephone_number": "216-291-0311",
            "fax_number": "216-291-1334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Clague Rd Ste 2460",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441451585",
            "country_code": "US",
            "telephone_number": "440-250-2835",
            "fax_number": "440-250-2451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3909 Orange Pl Ste 4100",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224480",
            "country_code": "US",
            "telephone_number": "216-896-1800",
            "fax_number": "216-896-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCAVINEW",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "F06182588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtneymcavinew@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl Ste 4100",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtneymcavinew@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1611 S Green Rd Ste 237",
            "city": "South Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441214121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtneymcavinew@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd Ste 2460",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Euclid, OH

Sources for this page

Verify at the official NPI Registry.