COURTNEY ELIZABETH HENNELLY APN
NPI 1265623763
Nurse Practitioner - Family in Basking Ridge, NJ

Q: What is Courtney Hennelly's NPI number?

The NPI number for Courtney Hennelly is 1265623763. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Q: What is Courtney Hennelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Hennelly was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since August 08, 2007PECOS EnrolledAccepts Medicare Assignment

92.91/100

CMS Quality Rating

136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920(908) 542-3500(908) 542-3211 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Courtney Elizabeth Hennelly Apn NPPES

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

COURTNEY ELIZABETH HENNELLY APN (NPI 1265623763) is an individual family provider in Basking Ridge, New Jersey, licensed in New York (33 334424) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1265623763

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCOURTNEY ELIZABETH HENNELLYCredential: APN

Location Address136 MOUNTAINVIEW BLVDBasking Ridge, NJ 07920-3444

Mailing Address136 Mountainview BlvdBasking Ridge, NJ 07920-3444 · (908) 542-3500 · Fax (908) 542-3211

Phone(908) 542-3500

Fax(908) 542-3211

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 8, 2007

Last NPPES UpdateMarch 21, 2012

✔ NPI 1265623763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · 33 334424✔ Licensed in NJ · 26NJ00345800

136 MOUNTAINVIEW BLVD, Basking Ridge, NJ 07920

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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 Elizabeth Hennelly Apn 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 ID5193899268

PECOS Enrollment IDI20130109000140

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

131 services123 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07920 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.17

Improvement Activities

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.

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