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COURTNEY PEMBERTON APRN
NPI 1932701604
Nurse Practitioner - Acute Care in Beavercreek, OH

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3535 PENTAGON BLVD, BEAVERCREEK, OH 45431(937) 702-4024(937) 702-4035 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2025, Mar 15, 2025, Dec 2, 2021 and 1 more (4 updates tracked since 2020).

About Courtney Pemberton Aprn NPPES

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

COURTNEY PEMBERTON APRN (NPI 1932701604) is an individual acute care provider in Beavercreek, Ohio, licensed in Ohio (APRN.CNP.0038556) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1932701604
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCOURTNEY PEMBERTONCredential: APRN
Location Address3535 PENTAGON BLVDBeavercreek, OH 45431-1705
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 757-2927 · Fax (859) 341-0203
Phone(937) 702-4024
Fax(937) 702-4035
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 9, 2020
Last NPPES UpdateOctober 1, 20254 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1932701604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0038556
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0038556 (OH), 3015281 (KY)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 0038556 (OH)
3535 PENTAGON BLVD, Beavercreek, OH 45431
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.Insurance ›

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 Pemberton Aprn 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 ID6608288378
PECOS Enrollment IDI20250407002036
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.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45431 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

ASHLEY GEORGE
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
EMILY GRACE TROMPAK (O'NEAL) PA-C
Physician Assistant (Medical)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4450
DR. ADELAIDE OMANE CRNA
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
GREENE MEMORIAL HOSPITAL SERVICES, INC
Obstetrics & Gynecology
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
MARIAN GAIDA PHAM NP
Nurse Practitioner (Gerontology)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 395-6665
DR. DANIEL B LUCKENBILL MD
Orthopaedic Surgery (Sports Medicine)
3535 PENTAGON BLVD, STE 320
BEAVERCREEK, OH 45431
Greene County (937) 433-5309
MR. AARON THOMAS WELLY ACNP-AG
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 395-6665
MRS. RAEANNE HUNTER FONDRIEST AG-ACNP
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4024

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 Pemberton's NPI number?

The NPI number for Courtney Pemberton is 1932701604. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Courtney Pemberton located?

Courtney Pemberton practices at 3535 Pentagon Blvd, Beavercreek, OH 45431. The listed phone number is (937) 702-4024.

What is Courtney Pemberton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Courtney Pemberton enrolled in Medicare?

Yes. Courtney Pemberton 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.

What insurance does Courtney Pemberton accept?

Health plans from CareSource and Oscar Health Insurance list Courtney Pemberton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Courtney Pemberton affiliated with any hospitals?

According to CMS data, Courtney Pemberton is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Courtney Pemberton was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.