Individual provider Active NPI

Courtney McGovern, CRNP

  • Family Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1669839957
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015546 Issued in PA
Practice address
747 Terrace St
Meadville, PA 16335-1737
Phone
(814) 333-7086
Fax
(814) 333-7068
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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 SP015546 PA Primary

Addresses

Primary practice location

747 Terrace St
Meadville, PA 16335-1737

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-5255

Other practice location 1

640 Alden St
Meadville, PA 16335-2348
Phone (814) 373-5255

Other practice location 2

118 Railroad St
Cambridge Springs, PA 16403-1060
Phone (814) 373-3080

Other practice location 3

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5081

Other practice location 4

906 Washington St
Conneautville, PA 16406-7138
Phone (814) 587-2246

Other practice location 5

417 N Monroe St
Titusville, PA 16354-1669
Phone (814) 333-7086

Other practice location 6

10926 State Highway 18
Conneaut Lake, PA 16316-3526
Phone (814) 382-0446

Other practice location 7

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-7016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160315000191 PA Practitioner - Nurse Practitioner 1153627310 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meadville Physician ServicesGroup PAC ID 9638078504, 26 clinicians
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

751 Liberty St
Suite G19
Meadville, PA 16335-2559
Phone (814) 333-5405

764 Kennedy St
Suite 101
Meadville, PA 16335-2209
Phone (814) 373-2195

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015546PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Jan 2, 2024 Accepting new patients
Meadville Medical Center CurrentSince Oct 2, 2021 Accepting new patients
Meadville Clinical Pathologists, Inc Current Accepting new patients
Meadville Physician Services CurrentSince Jul 1, 2022 Accepting new patients
Primary Care Services Family Past Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

764 Kennedy St
Ste 101
Meadville, PA 16335
Phone (814) 333-7020

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Interoperability endpoints

  • Direct secure messaging: courtney.m.mcgovern@directaddress.net

Organizations & group practices 6

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 2

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1669839957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 TERRACE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351737",
            "telephone_number": "814-333-7086",
            "fax_number": "814-333-7068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Alden St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352348",
            "country_code": "US",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Cambridge Springs",
            "state": "PA",
            "postal_code": "164031060",
            "country_code": "US",
            "telephone_number": "814-373-3080",
            "fax_number": "814-398-4340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-333-5081",
            "fax_number": "814-333-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 Washington St",
            "address_purpose": "LOCATION",
            "city": "Conneautville",
            "state": "PA",
            "postal_code": "164067138",
            "country_code": "US",
            "telephone_number": "814-587-2246",
            "fax_number": "814-587-4144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541669",
            "country_code": "US",
            "telephone_number": "814-333-7086",
            "fax_number": "814-333-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10926 State Highway 18",
            "address_purpose": "LOCATION",
            "city": "Conneaut Lake",
            "state": "PA",
            "postal_code": "163163526",
            "country_code": "US",
            "telephone_number": "814-382-0446",
            "fax_number": "814-382-7386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-333-7016",
            "fax_number": "814-373-3543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "COURTNEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.