Individual provider Active NPI

Nancy Ann Witcher, RN, CPNP

  • Pediatric Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1255320875
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5005375 Issued in NC
Practice address
110 Chadwick Square CT Ste a
Hendersonville, NC 28739-3238
Phone
(828) 698-8135
Fax
(828) 698-8518
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5005375 NC Primary

Addresses

Primary practice location

110 Chadwick Square CT Ste a
Hendersonville, NC 28739-3238

Mailing address

110 Chadwick Square CT Ste a
Hendersonville, NC 28739-3238
Phone (828) 698-8135

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
I20241008001624 MS Practitioner - Nurse Practitioner 1254664493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5005375NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Aug 9, 2024 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Forrest County General Hospital CurrentSince Aug 9, 2024 Accepting new patients
Forrest County General Hospital Past Accepting new patients

Locations

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

146 Highland Pkwy
Ste A
Picayune, MS 39466
Phone (601) 358-9832

130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400

146 Highland Pkwy
Ste C
Picayune, MS 39466
Phone (601) 358-9765

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1255320875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHADWICK SQUARE CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393238",
            "telephone_number": "828-698-8135",
            "fax_number": "828-698-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHADWICK SQUARE CT STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287393238",
            "telephone_number": "828-698-8135",
            "fax_number": "828-698-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITCHER",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5005375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.