COURTNEY ANN NEVIN PROFESSIONAL STUDENT
NPI 1245910009
Physician Assistant - Medical in Rochester, NY

Active since July 18, 2023PECOS EnrolledAccepts Medicare Assignment
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4000 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2025, Jul 18, 2023 (2 updates tracked since 2023).

About Courtney Ann Nevin Professional Student NPPES

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

COURTNEY ANN NEVIN PROFESSIONAL STUDENT (NPI 1245910009) is an individual medical provider in Rochester, New York, licensed in New York (030327) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245910009
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCOURTNEY ANN NEVINCredential: PROFESSIONAL STUDENT
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address100 Kings Highway SouthRochester, NY 14617-5504 · (585) 922-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 18, 2023
Last NPPES UpdateMay 19, 20252 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
NPI 1245910009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 030327
1425 PORTLAND AVE, Rochester, NY 14621

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney Ann Nevin Professional Student is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961841283
PECOS Enrollment IDI20240419001390
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621

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 Nevin's NPI number?

The NPI number for Courtney Nevin is 1245910009. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Courtney Nevin located?

Courtney Nevin practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4000.

What is Courtney Nevin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Courtney Nevin enrolled in Medicare?

Yes. Courtney Nevin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Courtney Nevin affiliated with any hospitals?

According to CMS data, Courtney Nevin is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Nevin was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.