Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Lee Sgrillo, CRNP

Individual provider Family Nurse Practitioner · NPI 1417622770

Courtney Lee Sgrillo, CRNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Pennsylvania.

Years since qualifying
6
Licensed in
NJ, PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

925 Chestnut St Fl 3
Philadelphia, PA 19107-4216
Phone: (215) 503-6654
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 — (856) 513-4124

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ15112100 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP023381 (PA)

Record details

NPI number1417622770
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 18, 2024
Certification dateAugust 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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