Active NPI
Cory R Wilhite, CRNP
- Nurse Practitioner
- Portersville, PA
National Provider Identifier
1316215064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP011742
- Practice address
- 120 Adams LN
Portersville, PA 16051-2419 - Phone
- (724) 368-4118
- NPI assigned
- Dec 9, 2011
- Last updated
- May 10, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP011742 | PA | Primary |
Addresses
Primary practice location
120 Adams LN
Portersville, PA 16051-2419
Mailing address
116 Guillard Rd
Prospect, PA 16052-2702
Phone (724) 496-6757
Other practice location 1
109 Technology Dr
Suite A
Butler, PA 16001-1785
Phone (724) 482-0159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP011742 | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Keystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
120 Adams LN
Portersville, PA 16051-2419
Phone (724) 368-4118
1323 Freedom Rd
Cranberry Township, PA 16066-5001
203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP011742 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portersville Family Practice PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
120 Adams Ln
Portersville, PA 16051
Phone (724) 368-4118
Organizations & group practices 2
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.
-
- Nurse Practitioner
- Portersville, PA
- NPI 1164939138
-
dba GCS
- Rehabilitation Clinic/Center
- Cranberry Township, PA
- NPI 1356349237
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Butler Memorial Hospital
- General Acute Care Hospital
- Butler, PA
- NPI 1447317896
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Butler, PA
- NPI 1821162314
-
- Home Health Agency
- Cabot, PA
- NPI 1669474847
-
- General Acute Care Hospital
- New Castle, PA
- NPI 1477538312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1316215064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 GUILLARD RD",
"city": "PROSPECT",
"state": "PA",
"postal_code": "160522702",
"telephone_number": "724-496-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ADAMS LN",
"city": "PORTERSVILLE",
"state": "PA",
"postal_code": "160512419",
"telephone_number": "724-368-4118"
}
],
"practiceLocations": [
{
"address_1": "109 Technology Dr",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Butler",
"state": "PA",
"postal_code": "160011785",
"country_code": "US",
"telephone_number": "724-482-0159",
"fax_number": "724-482-0160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILHITE",
"first_name": "CORY",
"middle_name": "R",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-09",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP011742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SP011742",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.