Individual provider Active NPI

Whitney Wilkinson, FNP-C

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1225545585
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902177 Issued in MS
Practice address
301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone
(601) 288-1700
NPI assigned
Jan 8, 2018
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 902177 MS Primary

Addresses

Primary practice location

301 S 28TH Ave
Hattiesburg, MS 39401-7233

Mailing address

41 Caitlynn Cir
Hattiesburg, MS 39402-7995
Phone (601) 543-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180222002958 MS Practitioner - Nurse Practitioner 5395006936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care of Hattiesburg PLLCGroup PAC ID 5294146791, 4 clinicians

Practice addresses (Care Compare)

301 S 28TH Ave
Hattiesburg, MS 39401-7233
Phone (601) 288-1701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.06 of 100Reported as group
Quality
72.24
Improvement activities
40
Cost
77.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902177MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care of Hattiesburg PLLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

301 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-1700

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

Organizations & group practices 1

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 3

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1225545585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CAITLYNN CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027995",
            "telephone_number": "601-543-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017233",
            "telephone_number": "601-288-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "WHITNEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.