Individual provider Active NPI

Courtney Lynn Hipkin, CRNA

  • Certified Registered Nurse Anesthetist
  • Riverside, CA
National Provider Identifier
1568084747
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001314 Issued in CA
Practice address
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(702) 449-5152
NPI assigned
May 11, 2020
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001314 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

26239 Newport Ave
Loma Linda, CA 92354-4121
Phone (702) 449-5152

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019002404 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507286291 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians
Mission Nursing Anesthesia IncGroup PAC ID 9436459278, 43 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4456

1620 Laurel Ave
Redlands, CA 92373-4838
Phone (909) 793-4701

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Sda Services of Ca CurrentSince Mar 1, 2022 Accepting new patients
Lgibson Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 26, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 5, 2023 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 5, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 26, 2021 Accepting new patients
Mission Nursing Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Regional Anesthesia Associates Inc Past Accepting new patients

Locations

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11234 Anderson St
Rm 1150
Loma Linda, CA 92350
Phone (909) 558-4308

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700

655 Munras Ave Ste 100
Ste 100
Monterey, CA 93940

35800 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 699-5000

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

1620 Laurel Ave
Redlands, CA 92373
Phone (909) 793-4701

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2006 N Riverside Ave
Ste C
Rialto, CA 92377
Phone (909) 586-6238

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4500 Brockton Ave
Ste 105
Riverside, CA 92501
Phone (951) 784-4088

2927 De la Vina St
Ste A
Santa Barbara, CA 93105
Phone (818) 654-9301

12595 Hesperia Rd
Victorville, CA 92395
Phone (760) 881-3377

12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377

400 10th St E
Waconia, MN 55387

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1568084747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26239 NEWPORT AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923544121",
            "telephone_number": "702-449-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "702-449-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPKIN",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.

Verify at the official NPI Registry.