Individual provider Active NPI

Mitchell James Wharton, CRNP, CNS

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1770749848
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
500022614 Issued in DC
Practice address
1816 12TH St NW
Washington, DC 20009-4422
Phone
(202) 446-1100
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 500022614 DC Primary

Addresses

Primary practice location

1816 12TH St NW
Washington, DC 20009-4422

Mailing address

1816 12TH St NW
Washington, DC 20009-4422
Phone (202) 446-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Saint Paul St
Apt 226
Baltimore, MD 21202-2913

1816 12TH St NW
Washington, DC 20009-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
500022614DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
US Helping US, People Into Living, Inc. Family CurrentSince May 30, 2026 Accepting new patients

Locations

3636 Georgia Ave NW
Washington, DC 20010
Phone (202) 446-1100

1816 12th St NW
Washington, DC 20009
Phone (202) 380-9570

Organizations & group practices 1

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1770749848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 12TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094422",
            "telephone_number": "202-446-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 12TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200094422",
            "telephone_number": "202-446-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARTON",
        "first_name": "MITCHELL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "CRNP, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "500022614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.