WHITNEY MCGUIRE NP
NPI 1003334459
Nurse Practitioner in Carbondale, IL

Active since September 06, 2017PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
305 W JACKSON ST STE 103, CARBONDALE, IL 62901(618) 351-4972(618) 351-6522 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Whitney Mcguire Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITNEY MCGUIRE NP (NPI 1003334459) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209016368) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003334459
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY MCGUIRECredential: NP
Location Address305 W JACKSON ST STE 103Carbondale, IL 62901-1474
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-6522
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2017
Last NPPES UpdateJanuary 18, 2025
NPPES CertifiedJanuary 18, 2025
NPI 1003334459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209016368
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
305 W JACKSON ST STE 103, Carbondale, IL 62901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Whitney Mcguire Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183999790
PECOS Enrollment IDI20171009000591
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
264 services215 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Nurse Practitioner
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Nurse Practitioner (Family)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Nurse Practitioner
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Neurological Surgery
305 W JACKSON ST STE 103
CARBONDALE, IL 62901
Psychiatry & Neurology (Neurology)
305 W JACKSON ST STE 103
CARBONDALE, IL 62901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Whitney Mcguire's NPI number?

The NPI number for Whitney Mcguire is 1003334459. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Whitney Mcguire located?

Whitney Mcguire practices at 305 W Jackson St Ste 103, Carbondale, IL 62901. The listed phone number is (618) 351-4972.

What is Whitney Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Whitney Mcguire enrolled in Medicare?

Yes. Whitney Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Whitney Mcguire affiliated with any hospitals?

According to CMS data, Whitney Mcguire is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center and St Joseph Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Whitney Mcguire was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.