Whitney N Bahner, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Tipton, MO
NPI 1326735481 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1326735481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2023015009 (MO)
- Practice address
- 875 Mo-5 Hwy
Tipton, MO 65081 - Phone
- (660) 433-5541
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Regional Health Services
Practice addresses (Care Compare)
875 S Hwy 5
Tipton, MO 65081-8441
Phone (660) 433-5541
Hospital & facility affiliations
- SSM Health St. Mary'S Hospital - Jefferson City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230503002277 | MO | Practitioner - Nurse Practitioner | 7012372659 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023015009 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
Accepting new patients | |
| SSM Regional Health Services | Current |
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
- cwat448842@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023015009 | MO | Yes |
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
- Whitney N Watring
Other providers in Tipton, MO
All providers in Tipton, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.