Individual provider Active NPI

Whitney N Bahner, FNP-C

  • Family Nurse Practitioner
  • Tipton, MO
National Provider Identifier
1326735481
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023015009 Issued in MO
Practice address
875 Mo-5 Hwy
Tipton, MO 65081
Phone
(660) 433-5541
NPI assigned
Apr 19, 2023
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 2023015009 MO Primary

Addresses

Primary practice location

875 Mo-5 Hwy
Tipton, MO 65081

Mailing address

32771 Lutman Rd
Smithton, MO 65350-3605
Phone (660) 473-1559

Other names 1

  • Whitney N Watring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230503002277 MO Practitioner - Nurse Practitioner 7012372659 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Regional Health ServicesGroup PAC ID 8921917352, shared by 13 NPIs, 165 clinicians

Practice addresses (Care Compare)

875 S Hwy 5
Tipton, MO 65081-8441
Phone (660) 433-5541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023015009MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services CurrentSince May 1, 2023 Accepting new patients
SSM Regional Health Services CurrentSince May 1, 2023 Accepting new patients
SSM Regional Health Services CurrentSince May 1, 2023 Accepting new patients
SSM Regional Health Services CurrentSince May 1, 2023 Accepting new patients
SSM Regional Health Services CurrentSince May 1, 2023 Accepting new patients
SSM Regional Health Services Past Accepting new patients

Locations

7655 Solutions Ctr
Chicago, IL 60677

140 Northstar Dr
Holts Summit, MO 65043
Phone (573) 826-4151

2511 W Edgewood Dr
Ste D
Jefferson City, MO 65109
Phone (573) 761-0304

2511 W Edgewood Dr
Ste G
Jefferson City, MO 65109
Phone (573) 761-0458

100 Saint Marys Plz
Jefferson Cty, MO 65101
Phone (573) 635-7642

875 S Highway 5
Tipton, MO 65081
Phone (660) 433-5404

Interoperability endpoints

  • Direct secure messaging: cwat448842@direct-ehr-ssmhc.com

Organizations & group practices 6

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 1

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1326735481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32771 LUTMAN RD",
            "city": "SMITHTON",
            "state": "MO",
            "postal_code": "653503605",
            "telephone_number": "660-473-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MO-5 HWY",
            "city": "TIPTON",
            "state": "MO",
            "postal_code": "65081",
            "telephone_number": "660-433-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNER",
        "first_name": "WHITNEY",
        "middle_name": "N",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023015009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "WATRING",
            "middle_name": "N",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tipton, MO

Sources for this page

Verify at the official NPI Registry.