TISHEILA DIANE WHITTED APRN, FNP-BC
NPI 1003481607
Nurse Practitioner - Family in Columbia, SC

Q: What is Tisheila Whitted's NPI number?

The NPI number for Tisheila Whitted is 1003481607. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Q: What is Tisheila Whitted's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tisheila Whitted was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 25, 2021PECOS EnrolledAccepts Medicare Assignment

1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203(803) 434-7910 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2025, Mar 19, 2025, Jun 3, 2021 and 1 more (4 updates tracked since 2021).

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About Tisheila Diane Whitted Aprn, Fnp-bc NPPES

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

TISHEILA DIANE WHITTED APRN, FNP-BC (NPI 1003481607) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (24754) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1003481607

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTISHEILA DIANE WHITTEDCredential: APRN, FNP-BC

Location Address1 RICHLAND MEDICAL PARK DR STE 300Columbia, SC 29203-6831

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(803) 434-7910

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 25, 2021

Last NPPES UpdateApril 10, 20254 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1003481607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 24754

Also ListedNurse PractitionerTaxonomy 363L00000X · License 24754 (SC)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 24754 (SC)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 24754 (SC)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 24754 (SC)

1 RICHLAND MEDICAL PARK DR STE 300, Columbia, SC 29203

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Secondary Practice Location 1

Location 12720 Sunset BlvdWest Columbia, SC 29169-4810 · Phone (803) 791-2480 · Fax (803) 936-4102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

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

Tisheila Diane Whitted Aprn, Fnp-bc 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 ID4486056405

PECOS Enrollment IDI20210714001042

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.

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420086

Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County

Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420106

Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 20

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

MRS. ERIN REGAN KENNEDY-RIPLEY CRNP

Nurse Practitioner (Acute Care)