Individual provider Active NPI

Michelle Whitt, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1760844989
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP8466 Issued in AZ
Practice address
3367 S Mercy Rd Ste 207
Gilbert, AZ 85297-7604
Phone
(480) 855-5900
Fax
(480) 855-9171
NPI assigned
Mar 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP8466 AZ Primary

Addresses

Primary practice location

3367 S Mercy Rd Ste 207
Gilbert, AZ 85297-7604

Mailing address

3815 South Val Vista Drive
Gilbert, AZ 85297
Phone (480) 782-0993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211004002343 AZ Practitioner - Nurse Practitioner 1254620305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boojum Obstetrics and GynecologyGroup PAC ID 1355471640, 2 clinicians

Practice addresses (Care Compare)

3367 S Mercy Rd
Suite 207
Gilbert, AZ 85297-7604
Phone (480) 855-5900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boojum Obstetrics and Gynecology CurrentSince May 30, 2024 Accepting new patients

Locations

3367 S Mercy Rd
Ste 207
Gilbert, AZ 85297
Phone (480) 855-5900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1760844989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 SOUTH VAL VISTA DRIVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85297",
            "telephone_number": "480-782-0993",
            "fax_number": "855-329-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3367 S MERCY RD STE 207",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977604",
            "telephone_number": "480-855-5900",
            "fax_number": "480-855-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "MICHELLE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP8466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.