Individual provider Active NPI

Debra Denise Wilhite, APN

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1992775878
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01809 Issued in AR
Practice address
555 W 6TH St
Mountain Home, AR 72653-3409
Phone
(870) 425-8288
NPI assigned
Jan 24, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01809 AR
Family Nurse Practitioner 363LF0000X A01809 AR Primary

Addresses

Primary practice location

555 W 6TH St
Mountain Home, AR 72653-3409

Mailing address

241 Whispering Forest Dr
Mountain Home, AR 72653-5922

Other identifiers 1

IdentifierTypeStateIssuer
156342758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20050318000866 AR Practitioner - Nurse Practitioner 0749232452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Enterprises, LLCGroup PAC ID 3476945528, 16 clinicians

Practice addresses (Care Compare)

15 Green Valley Dr
Suite 100
Mountain Home, AR 72653-8102
Phone (870) 701-4090

555 W 6TH St
Mountain Home, AR 72653-3409
Phone (870) 425-8288

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01809ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Regional Enterprises, LLC CurrentSince Oct 14, 2024 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Oct 14, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

15 Green Valley Dr
#100
Mountain Home, AR 72653
Phone (870) 701-0490

555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

628 Hospital Dr
Ste 112
Mountain Home, AR 72653
Phone (870) 425-8288

Interoperability endpoints

  • Direct secure messaging: debra.wilhite@bhcawp.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1992775878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WHISPERING FOREST DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726535922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 6TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533409",
            "telephone_number": "870-425-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHITE",
        "first_name": "DEBRA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156342758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.