Individual provider Active NPI

Whitney Kathryn Carruthers, FNP

  • Family Nurse Practitioner
  • Pana, IL
National Provider Identifier
1376209700
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022060 Issued in IL
Practice address
101 E 9TH St
Pana, IL 62557-1716
Phone
(217) 562-2544
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 209022060 IL Primary

Addresses

Primary practice location

101 E 9TH St
Pana, IL 62557-1716

Mailing address

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-2544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WCarruthers@panahospital.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230810003340 IL Practitioner - Nurse Practitioner 1153783972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian W Dossett MD LTDGroup PAC ID 4183784754, 3 clinicians

Practice addresses (Care Compare)

101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246

1029 N 8TH St
Vandalia, IL 62471-1238
Phone (618) 283-4469

217 S Locust St
Pana, IL 62557-1605
Phone (217) 562-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209022060ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pana Community Hospital Association CurrentSince Jun 14, 2023 Accepting new patients
Nokomis Medical Group CurrentSince Jun 14, 2023 Accepting new patients
Pana Community Hospital Association Current Accepting new patients
Pana Community Hospital Association Past Accepting new patients

Locations

120 S Cedar St
Nokomis, IL 62075
Phone (217) 563-8363

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

101 E 9th St
Ste 105
Pana, IL 62557
Phone (217) 562-2544

Interoperability endpoints

  • Direct secure messaging: wcarruthers@panahospital.com

Organizations & group practices 5

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 2

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1376209700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 9TH ST",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571716",
            "telephone_number": "217-562-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRUTHERS",
        "first_name": "WHITNEY",
        "middle_name": "KATHRYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WCarruthers@panahospital.com",
            "affiliation": "N",
            "address_1": "101 E 9th St",
            "city": "Pana",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625571716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pana, IL

Sources for this page

Verify at the official NPI Registry.