Courtney Enterline

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA003240 Issued in PA

Practice address

1008 S 5TH Ave
Suite 203
Clarion, PA 16214-8676

Phone

(814) 223-9280

NPI assigned

Mar 5, 2014

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

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Northwest Hospital, Seneca, PA, CCN 390091

Merit-based Incentive Payment System (MIPS)

Final score

80.94 of 100Reported as group

Quality

61.89

Promoting interoperability

100

Improvement activities

40

Cost

74.58

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.d.bullers@upmcdirect.com
• Direct secure messaging: cbullers49132@upmc.direct-ci.com

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.

• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment Care Compare group
• University of Pittsburgh Physicians

  • Obstetrics & Gynecology Physician
  • Pittsburgh, PA
  • NPI 1134187834
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• Upmc Emergency Medicine Inc

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1891744041
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Northwest

  • Psychiatric Hospital Unit
  • Seneca, PA
  • NPI 1013090745
  Care Compare affiliation
• Upmc Northwest

  • General Acute Care Hospital
  • Seneca, PA
  • NPI 1619069440
  Care Compare affiliation
• Upmc Northwest

  • Ambulatory Surgical Clinic/Center
  • Seneca, PA
  • NPI 1922174747

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1770909426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S 5TH AVE",
            "address_2": "SUITE 203",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S 5TH AVE",
            "address_2": "SUITE 203",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148676",
            "telephone_number": "814-223-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTERLINE",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA003240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "courtney.d.bullers@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dubois Regional Medical Center
• Leah Dubovi
• Eastern Pennsylvania Physician Alliance LLC
• Jessica Eisenman, MA
• Ahmed Elsanousi, MD
• Michael Esang, M.B.B.CH.
• Jenna Fair, RECOVERY COACH
• Heidi Faller, FNP
• Michelle Fetzer
• Shelby Fillman

• Physician Assistant in Clarion, PA
• Providers in Clarion, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.