Individual provider Active NPI

Courtney Renee McIlveen, CNM

  • Advanced Practice Midwife
  • Charlotte, NC
National Provider Identifier
1497371298
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
24062 Issued in SC
Practice address
13640 Steelecroft Pkwy Ste 240
Charlotte, NC 28278-7799
Phone
(803) 936-8100
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 24062 SC Primary

Addresses

Primary practice location

13640 Steelecroft Pkwy Ste 240
Charlotte, NC 28278-7799

Mailing address

13640 Steelecroft Pkwy Ste 240
Charlotte, NC 28278-7799

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcilveen89469@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200821001997 SC Practitioner - Certified Nurse Midwife (CNM) 2466878301 Reassigns benefits to 2 organizations
I20230123001523 NC Practitioner - Certified Nurse Midwife (CNM) 2466878301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
836NCMDAddiction (Substance Use Disorder) Counselor
24062SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 28, 2022 Accepting new patients
Lexington Health Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 29, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Aug 29, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Eastover Obstetrics and Gynecology Associates Inc Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

13640 Steelecroft Pkwy
Ste 240
Charlotte, NC 28278
Phone (704) 512-2860

2101 Shiloh Church Rd
Ste 202
Davidson, NC 28036
Phone (704) 403-7800

6030 W Highway 74
Ste B
Indian Trail, NC 28079
Phone (704) 289-2553

704 Gold Hill Rd
Ste 203
Fort Mill, SC 29715
Phone (803) 835-0405

1 Wellness Blvd
Ste 203
Irmo, SC 29063
Phone (803) 732-4608

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

1656 Riverchase Blvd
Ste 3600
Rock Hill, SC 29732
Phone (803) 324-7606

222 E Medical Ln
Ste 300
West Columbia, SC 29169
Phone (803) 739-3570

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1497371298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 STEELECROFT PKWY STE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 STEELECROFT PKWY STE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787799",
            "telephone_number": "803-936-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVEEN",
        "first_name": "COURTNEY",
        "middle_name": "RENEE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "SC",
            "license": "24062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcilveen89469@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "222 E Medical Ln Ste 300",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.