Individual provider Active NPI

Courtney Ebert Hein, CNM

  • Advanced Practice Midwife
  • Boulder, CO
National Provider Identifier
1790243558
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
994513 Issued in CO
Practice address
2800 Folsom St
Boulder, CO 80304-3738
Phone
(303) 443-3993
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 994513 CO Primary

Addresses

Primary practice location

2800 Folsom St
Boulder, CO 80304-3738

Mailing address

2923 Lake Park Way
Longmont, CO 80503-7849
Phone (303) 746-0312

Other practice location 1

2923 Lake Park Way
Longmont, CO 80503-7849
Phone (303) 746-0312

Other practice location 2

607 Indian Health Rd
Pine Ridge, SD 57770-3169
Phone (303) 746-0312

Other names 1

  • Courtney Hein Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY2 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
I20230130001768 TX Practitioner - Certified Nurse Midwife (CNM) 4385015338 Reassigns benefits to 1 organization
I20250207001502 WY Practitioner - Certified Nurse Midwife (CNM) 4385015338 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
994513COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Healthcare Inc CurrentSince Feb 1, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 26, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Dec 26, 2022 Accepting new patients
Powell Valley Health Care Inc CurrentSince Feb 1, 2025 Accepting new patients
Boulder Birth & Holistic Health Past Accepting new patients

Locations

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

450 Mountain View St
Bldg C
Powell, WY 82435
Phone (307) 254-0661

Interoperability endpoints

  • Direct secure messaging: courtney.eberthein@1023947504418820.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1790243558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 LAKE PARK WAY",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037849",
            "telephone_number": "303-746-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FOLSOM ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043738",
            "telephone_number": "303-443-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2923 Lake Park Way",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805037849",
            "country_code": "US",
            "telephone_number": "303-746-0312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 Indian Health Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Ridge",
            "state": "SD",
            "postal_code": "577703169",
            "country_code": "US",
            "telephone_number": "303-746-0312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERT HEIN",
        "first_name": "COURTNEY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "994513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "HEIN",
            "credential": "CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.