Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COURTNEY CORINNE COFFEY
NPI 1114762184
Nurse Practitioner - Psychiatric/Mental Health in Studio City, CA

Active since July 01, 2024PECOS Enrolled
11684 VENTURA BLVD # 1048, STUDIO CITY, CA 91604(818) 518-8466 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Oct 11, 2026, Jul 1, 2024 (3 updates tracked since 2024).

About Courtney Corinne Coffey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY CORINNE COFFEY (NPI 1114762184) is an individual psychiatric/mental health provider in Studio City, California, licensed in California (95030456) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114762184
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOURTNEY CORINNE COFFEY
Location Address11684 VENTURA BLVD # 1048Studio City, CA 91604-2699
Mailing Address11684 Ventura Blvd # 1048Studio City, CA 91604-2699
Sole ProprietorNo
Enumeration DateJuly 1, 2024
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1114762184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95030456
11684 VENTURA BLVD # 1048, Studio City, CA 91604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Corinne Coffey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Coffey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Coffey's NPI number?

The NPI number for Courtney Coffey is 1114762184. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Courtney Coffey located?

Courtney Coffey practices at 11684 Ventura Blvd # 1048, Studio City, CA 91604. The listed phone number is (818) 518-8466.

What is Courtney Coffey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Courtney Coffey enrolled in Medicare?

Yes. Courtney Coffey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Courtney Coffey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Coffey reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Coffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Coffey was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.