Winona Benita Pitts, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

28201413A Issued in IN

Practice address

3851 N River Rd
West Lafayette, IN 47906-3765

Phone

(765) 463-1502

NPI assigned

Jul 31, 2018

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Winona Benita Tatum Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Li Consulting LLCGroup PAC ID 0143619908, 7 clinicians

Impact Physician Group Indiana LLCGroup PAC ID 6608111026, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Williamsport Hospital, Williamsport, IN, CCN 151307

Merit-based Incentive Payment System (MIPS)

Final score

54.43 of 100Reported as group

Quality

50.86

Improvement activities

0

Cost

80.3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25124/brand/1/csg/1/fhir/r4
• Direct secure messaging: winona.pitts.1@25124.direct.athenahealth.com

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.

• Impact Physician Group, Indiana LLC

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1568930220
  Medicare reassignment Care Compare group NPD
• Thomas Li Consulting LLC

  • Family Medicine Physician
  • Lafayette, IN
  • NPI 1013689512
  Medicare reassignment Care Compare group NPD
• State of Indiana, Auditor of State

  dba Madison State Hospital

  • Psychiatric Hospital
  • Madison, IN
  • NPI 1700876224
  Medicare reassignment NPD
• In Charge Medical Professionals LLC

  • Internal Medicine Physician
  • Peachtree City, GA
  • NPI 1124426606

  IN

  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IN

  Medicare reassignment NPD
• State of Indiana Auditor of State

  dba Indiana Veterans' Home

  • Nursing Facility/Intermediate Care Facility
  • West Lafayette, IN
  • NPI 1194778001
  NPD
• State of Indiana, Auditor of State

  dba Indiana Department of Health

  • Public Health or Welfare Agency
  • Indianapolis, IN
  • NPI 1023613403
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Care Compare affiliation

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1912485038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 E CARMEL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322812",
            "telephone_number": "317-660-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 N RIVER RD",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479063765",
            "telephone_number": "765-463-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "WINONA",
        "middle_name": "BENITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28201413A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WINONA",
            "last_name": "TATUM",
            "middle_name": "BENITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physiocare Hospice LLC
• Lucy Helena Pickett, RN
• Sarah Pierce, PHARMD
• Tristin Pierson
• Katherine Pimmler
• Kylie Pitzer
• Alexia Platt
• Shelley Plessinger
• Tama Plumb
• Gabriela Kaye Poalino, LAT, ATC

• Adult Health Nurse Practitioner in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.