COURTNEY LEE SGRILLO CRNP
NPI 1417622770
Nurse Practitioner - Family in Philadelphia, PA
About Courtney Lee Sgrillo Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY LEE SGRILLO CRNP (NPI 1417622770) is an individual family provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NJ15112100) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in Turnersville.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Courtney Lee Sgrillo Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Courtney Sgrillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Kennedy Medical Group Practice, P.C.
- 438 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sgrillo's NPI number?
The NPI number for Courtney Sgrillo is 1417622770. It was assigned to this individual provider in the NPPES registry on August 10, 2021. The provider is also known as Courtney Lee Wingate Crnp.
Where is Courtney Sgrillo located?
Courtney Sgrillo practices at 925 Chestnut St Fl 3, Philadelphia, PA 19107. The listed phone number is (215) 503-6654.
What is Courtney Sgrillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Courtney Sgrillo enrolled in Medicare?
Yes. Courtney Sgrillo 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.
Which organizations bill Medicare for Courtney Sgrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Sgrillo reassigns Medicare benefits to 2 organizations: Jefferson University Physicians (Philadelphia, PA) and Kennedy Medical Group P.C. (Voorhees, NJ). Each 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 Sgrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Courtney Sgrillo affiliated with any hospitals?
According to CMS data, Courtney Sgrillo is affiliated with Jefferson Stratford Hospital.
When was this NPI record last updated?
The NPPES record for Courtney Sgrillo was last updated on August 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Courtney Lee Sgrillo, CRNP · NPI 1417622770
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1417622770 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15112100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 925 CHESTNUT ST FL 3, Philadelphia, PA 19107-4216
- **Phone:** (215) 503-6654
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jefferson University Physicians (NPI 1326093675, Philadelphia, PA); Kennedy Medical Group P.C. (NPI 1609314004, Voorhees, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417622770) · Data from the CMS NPPES public registry.