Active NPI
Nancy Ann Witcher, RN, CPNP
- Pediatric Nurse Practitioner
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5005375
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5005375 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | 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.
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- Family Medicine Physician
- Prentiss, MS
- NPI 1730452558
-
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1225041809
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.