Dina B Witter, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.009150 Issued in IL

Practice address

311 E Main St Ste 409
Galesburg, IL 61401-4867

Phone

(309) 343-6162

Fax

(309) 343-3802

NPI assigned

Jul 19, 2018

Last updated

Oct 22, 2021By 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

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Community Health ClinicGroup PAC ID 7416850318, shared by 4 NPIs, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL, Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1952888299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MAIN ST STE 409",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014867",
            "telephone_number": "309-343-6162",
            "fax_number": "309-343-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MAIN ST STE 409",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014867",
            "telephone_number": "309-343-6162",
            "fax_number": "309-343-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTER",
        "first_name": "DINA",
        "middle_name": "B",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.009150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig James Wilson, M.D.
• Jeffery James Wilson, DC
• Patricia M Wilson
• Christy Kay Wingo, BSN, RN
• Andrea Louise Winking, RN BSN
• David Woltz, PHARMD
• Sandra Lynn Wood, QMHP,RN
• Woodridge of Galesburg LLC
• Hailey Worden
• Theresa Nicole Workheiser, LPCC

• Nurse Practitioner in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.