NPIMap

Individual provider Active NPI

Courtney Robinson Johnson, CNP

  • Adult Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1477783942
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.10785-NP Issued in OH
Practice address
4260 Glendale Milford Rd
Cincinnati, OH 45242-3763
Phone
(513) 563-6883
Fax
(513) 563-1872
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.10785-NP OH
Adult Health Nurse Practitioner 363LA2200X COA.10785-NP OH Primary

Addresses

Primary practice location

4260 Glendale Milford Rd
Cincinnati, OH 45242-3763

Mailing address

4260 Glendale Milford Rd
Ste 202
Cincinnati, OH 45242-3763
Phone (513) 563-6883

Other identifiers 1

IdentifierTypeStateIssuer
2998172MedicaidOH

Other names 1

  • Courtney Jansen Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090910000411 OH Practitioner - Nurse Practitioner 7113072406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

3301 Mercy Health Blvd
Suite 125
Cincinnati, OH 45211-1106
Phone (513) 215-9200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.10785-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Nov 1, 2012 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Nurse Practitioner CurrentSince Nov 1, 2012 Accepting new patients

Locations

4260 Glendale Milford Rd
Ste 202
Blue Ash, OH 45242
Phone (513) 563-6883

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

3301 Mercy Health Blvd
Ste 125
Cincinnati, OH 45211
Phone (513) 215-9200

3301 Mercy Health Blvd
Ste 340
Cincinnati, OH 45211
Phone (513) 686-2663

Interoperability endpoints

  • Direct secure messaging: cjohnson65528@direct.bsmhealth.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 10

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1477783942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD",
            "address_2": "STE 202",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423763",
            "telephone_number": "513-563-6883",
            "fax_number": "513-563-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423763",
            "telephone_number": "513-563-6883",
            "fax_number": "513-563-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COURTNEY",
        "middle_name": "ROBINSON",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.10785-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.10785-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2998172",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ROBINSON",
            "middle_name": "JANSEN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.