Individual provider Active NPI

Deborah Whitmire Pittillo, FNP

  • Family Nurse Practitioner
  • Arden, NC
National Provider Identifier
1114902277
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201649 Issued in NC
Practice address
2695 Hendersonville Rd Ste 200
Arden, NC 28704-8576
Phone
(828) 684-6035
Fax
(828) 654-8152
NPI assigned
Dec 13, 2005
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201649 NC Primary

Addresses

Primary practice location

2695 Hendersonville Rd Ste 200
Arden, NC 28704-8576

Mailing address

PO Box 27877
Salt Lake City, UT 84127-0877
Phone (828) 694-8350

Other identifiers 14

IdentifierTypeStateIssuer
611186890OtherPRIVATE HEALTHCARE SAVING
611186890OtherBEECH STREET
500030491OtherRR MEDICARE
611186890OtherHUMANA TRICARE
611186890OtherCIGNA HEALTHCARE
C0039OtherMEDCOST
NCX355AOtherNCMEDICARE PTAN
0171701OtherUNITED HEALTHCARE
O12U9OtherBCBS NC
7000364MedicaidNC
NP0683MedicaidSC
611186890OtherFIRST HEALTH
611186890OtherHEALTHCARE SAVINGS
611186890OtherCRESENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpittillo149518@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000798 NC Practitioner - Nurse Practitioner 4082602420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henderson County Hospital CorporationGroup PAC ID 8123938115, shared by 20 NPIs, 231 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

2695 Hendersonville Rd
Arden, NC 28704-8576

271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201649NCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Jun 1, 2017 Accepting new patients
Henderson County Hospital Corporation CurrentSince Nov 1, 2022 Accepting new patients
Henderson County Hospital Corporation CurrentSince Jun 1, 2017 Accepting new patients
Forge Mountain Medicine, PLLC Past Accepting new patients

Locations

2695 Hendersonville Rd
Ste 200
Arden, NC 28704
Phone (828) 684-6035

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1114902277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27877",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270877",
            "telephone_number": "828-694-8350",
            "fax_number": "828-694-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 HENDERSONVILLE RD STE 200",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048576",
            "telephone_number": "828-684-6035",
            "fax_number": "828-654-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTILLO",
        "first_name": "DEBORAH",
        "middle_name": "WHITMIRE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SAVING",
            "identifier": "611186890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "611186890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500030491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA TRICARE",
            "identifier": "611186890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "611186890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C0039",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCX355A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0171701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "O12U9",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000364",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0683",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "611186890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE SAVINGS",
            "identifier": "611186890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRESENT",
            "identifier": "611186890",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpittillo149518@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2695 Hendersonville Rd Ste 200",
            "city": "Arden",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287048576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

Verify at the official NPI Registry.