MS. COURTNEY BROOKE GRAVENS (MSN, RN) – Family Nurse Practitioner, NPI 1467766261

MS. COURTNEY BROOKE GRAVENS (MSN, RN) is a healthcare provider. based in Willoughby, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, RN. They hold a License No. COA.16149-NP (OH). The NPI Number for MS. COURTNEY BROOKE GRAVENS (MSN, RN) is 1467766261

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. COURTNEY BROOKE GRAVENS (MSN, RN)
NPI
1467766261
Phone
(440) 487-8508
Address
5141 SHEPHERDS GLN
Enumeration Date
4 August 2010
Last Update Date
15 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408098810
Graduation Year
2009 (17 years ago)
PAC ID
8729205653
Group Practice PAC ID
3971985607
Professional Enrollment ID
I20140815001806
Address ID
OH441228400BE3909XPLXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MS. COURTNEY BROOKE GRAVENS (MSN, RN)

  • 5141 SHEPHERDS GLN

    WILLOUGHBY, OH 440943388

    Phone: (440) 487-8508

    Type: Mailing

  • 8655 MARKET STREET

    MENTOR, OH 44060

    Phone: (440) 255-6400

    Fax: (440) 255-3637

    Type: Location

  • 11706 CLIFTON BLVD

    LAKEWOOD, OH 44107

    Phone: (440) 487-8508

    Type: Location

  • 11706 Clifton Blvd

    Lakewood, OH 44107

    Phone: (440) 487-8508

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140815001806INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes4040$0
99213Established patient office or other outpatient visit, 20-29 minutes4039$0
99202New patient office or other outpatient visit, 15-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 44094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971985607View full group profile
NameSpecialtyState
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantAZ
Physician AssistantOH
Physician AssistantOH
Family PracticeOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What number should I use to identify MS. COURTNEY BROOKE GRAVENS (MSN, RN) for billing?
Administrative and clinical systems typically use NPI 1467766261 for MS. COURTNEY BROOKE GRAVENS (MSN, RN).
Is MS. COURTNEY BROOKE GRAVENS (MSN, RN) currently accepting referrals based on NPI status?
Registry metadata lists MS. COURTNEY BROOKE GRAVENS (MSN, RN) as active.
What does the directory say MS. COURTNEY BROOKE GRAVENS (MSN, RN) does?
Insurance directories may phrase it differently, but here MS. COURTNEY BROOKE GRAVENS (MSN, RN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. COURTNEY BROOKE GRAVENS (MSN, RN)?
MS. COURTNEY BROOKE GRAVENS (MSN, RN) shows a connection to Willoughby, Ohio in registry-derived data.
Who maintains MS. COURTNEY BROOKE GRAVENS (MSN, RN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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