Doctor profile · Federal record
Dr. Courtney Provine, CRNP
Acute Care Nurse Practitioner · Family Nurse Practitioner · Philadelphia, PA
- NPI 1497153472
- MIPS 85.5 / 100 · 2023
- 12 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3400 Civic Center Blvd, 2 South
Philadelphia, PA 19104
(215) 615-0718
fax (215) 349-8309 - Mailing address
-
5709 Shetland CT
Bensalem, PA 19020
Credentials & registration
- NPI registered
- December 2014 — 12 yrs on file
- Profile last updated
- November 15, 2021
- Specialty taxonomy
- 363LA2100X — NUCC code
- State licenses (2)
- Pennsylvania #SP021617 · Pennsylvania #SP014616
- Medicaid
- PA #1029886820001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1497153472. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
79
Distinct HCPCS
2
Medicare allowed
$5,576
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 42 | 33 | $126 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 37 | 30 | $7 |
In context: peer comparison
Among 78 peers in this city , average services per provider: 71. This provider delivers 1.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
256
Patients
13
Total drug cost
$1,164,153
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ambrisentan | Generic | 48 | 0 | $260,448 |
| Tadalafil | Generic | 45 | 13 | $33,413 |
| Sildenafil Citrate | Generic | 30 | 0 | $10,667 |
| Furosemide | Generic | 25 | 0 | $196 |
| Potassium Chloride | Generic | 22 | 0 | $1,200 |
| Adempas (Riociguat) | Brand | 17 | 0 | $249,849 |
| Uptravi (Selexipag) | Brand | 17 | 0 | $420,163 |
| Opsumit (Macitentan) | Brand | 14 | 0 | $178,786 |
| Xarelto (Rivaroxaban) | Brand | 14 | 0 | $9,059 |
| Bumetanide | Generic | 13 | 0 | $296 |
Frequently asked questions
What is Dr. Courtney Provine's medical specialty?
Dr. Courtney Provine practices Acute Care Nurse Practitioner in Philadelphia, PA.
Where does Dr. Courtney Provine practice?
Dr. Courtney Provine practices at 3400 Civic Center Blvd, Philadelphia, PA 19104. Office phone: 2156150718.
What is Dr. Courtney Provine's NPI?
Dr. Courtney Provine's National Provider Identifier (NPI) is 1497153472, issued by NPPES.
What procedures does Dr. Courtney Provine commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.