Courtney Breaux Ellena, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN.0004415-CNM Issued in NU

Practice address

9195 Grant St Ste 410
Thornton, CO 80229-4388

Phone

(303) 280-2229

Fax

(303) 280-0765

NPI assigned

Oct 12, 2005

Last updated

Sep 6, 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 identifiers 1

Other names 1

• Courtney Breaux Perez Former name

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Certified Nurse Midwife (CNM)

Education

Vanderbilt University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthone Clinic Services - Obstetrics and Gynecology LLCGroup PAC ID 4587759972, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.perez@hca3.eclinicaldirectplus.com

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.

• Healthone Clinic Services - Obstetrics and Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Aurora, CO
  • NPI 1831397215

  Advanced Practice Midwife

  Medicare reassignment Care Compare group NPD
• HCA Healthone LLC

  dba HCA HealthONE Mountain Ridge Hospital

  • General Acute Care Hospital
  • Thornton, CO
  • NPI 1821042979
  NPD (past)
• Healthone Clinic Services LLC

  dba Aurora Nurse Midwives

  • Obstetrics & Gynecology Physician
  • Aurora, CO
  • NPI 1023099371
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1528056611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 410",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294388",
            "telephone_number": "303-280-2229",
            "fax_number": "303-280-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 410",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294388",
            "telephone_number": "303-280-2229",
            "fax_number": "303-280-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENA",
        "first_name": "COURTNEY",
        "middle_name": "BREAUX",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": "APN.0004415-CNM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98582232",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "PEREZ",
            "middle_name": "BREAUX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Lois Stock Ellison

• Advanced Practice Midwife in Thornton, CO
• Providers in Thornton, CO by specialty
• Advanced Practice Midwife in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.