Individual provider Active NPI

David Wayne Witty, APRN

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1518425149
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021023 Issued in NC
Practice address
5200 Suburban Dr
Austin, TX 78745-2335
Phone
(512) 415-5942
NPI assigned
Mar 2, 2019
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0992697-C-NP CO
Family Nurse Practitioner 363LF0000X AP140689 TX
Family Nurse Practitioner 363LF0000X 5021023 NC Primary

Addresses

Primary practice location

5200 Suburban Dr
Austin, TX 78745-2335

Mailing address

5200 Suburban Dr
Austin, TX 78745-2335
Phone (512) 415-5942

Other practice location 1

501 S Cherry St Ste 820
Denver, CO 80246-1325
Phone (702) 589-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220811003270 CO Practitioner - Nurse Practitioner 9931442621 Reassigns benefits to 1 organization
I20250116002808 NC Practitioner - Nurse Practitioner 9931442621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as group
Quality
78.73
Promoting interoperability
68
Improvement activities
40
Cost
51.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5021023NCMDFamily Nurse Practitioner
AP140689TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling CurrentSince Jun 1, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Nov 25, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Nov 25, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Nov 25, 2024 Accepting new patients
Inpatient Consultants of North Carolina, PC CurrentSince Nov 25, 2024 Accepting new patients
Hni Medical Services PastSince Apr 8, 2019 Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

8089 S Lincoln St
Ste 203
Littleton, CO 80122
Phone (303) 915-5567

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1518425149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 SUBURBAN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452335",
            "telephone_number": "512-415-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SUBURBAN DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787452335",
            "telephone_number": "512-415-5942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Cherry St Ste 820",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461325",
            "country_code": "US",
            "telephone_number": "702-589-4871",
            "fax_number": "702-589-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTY",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-02",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0992697-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140689",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.