NPIMap

Individual provider Active NPI

Courtney Marie McElyea, PA-C

  • Medical Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1851927792
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601010570 Issued in MI
Practice address
Iep: Independent Emergency Physicians
37000 Grand River Ave #310
Farmington Hills, MI 48335-2868
Phone
(248) 536-2127
NPI assigned
Mar 22, 2020
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601010570 MI
Medical Physician Assistant 363AM0700X 5601010570 MI Primary

Addresses

Primary practice location

Iep: Independent Emergency Physicians
37000 Grand River Ave #310
Farmington Hills, MI 48335-2868

Mailing address

29635 Lamar LN
Livonia, MI 48152-4527
Phone (219) 331-1936

Other names 1

  • Ms. Courtney Marie Finnearty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701000173 MI Practitioner - Physician Assistant 1850792565 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Observation Physicians PLLCGroup PAC ID 3577603604, 138 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601010570MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Urgent Care PC Single Specialty CurrentSince Jun 23, 2021 Accepting new patients
Farmington Hills Urgent Care Walk-in Clinic PC Single Specialty PastSince Jul 31, 2022 Accepting new patients

Locations

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

Interoperability endpoints

  • Direct secure messaging: cmcelyea1140899@direct.hfhs.org

Organizations & group practices 12

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.

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": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1851927792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29635 LAMAR LN",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524527",
            "telephone_number": "219-331-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IEP: INDEPENDENT EMERGENCY PHYSICIANS",
            "address_2": "37000 GRAND RIVER AVE #310",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352868",
            "telephone_number": "248-536-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELYEA",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010570",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "FINNEARTY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.