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MELISSA WHITT APRN
NPI 1043775646
Nurse Practitioner - Family in South Williamson, KY

Active since February 07, 2019PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
306 HOSPITAL DR STE 204, SOUTH WILLIAMSON, KY 41503(606) 237-5800(606) 237-5858 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2021, Feb 7, 2019 (2 updates tracked since 2019).

About Melissa Whitt Aprn NPPES

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

MELISSA WHITT APRN (NPI 1043775646) is an individual family provider in South Williamson, Kentucky, licensed in Kentucky (3012984) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043775646
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA WHITTCredential: APRN
Location Address306 HOSPITAL DR STE 204South Williamson, KY 41503-4096
Mailing Address306 Hospital Dr Ste 204South Williamson, KY 41503-4096 · (606) 237-5800 · Fax (606) 237-5858
Phone(606) 237-5800
Fax(606) 237-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 7, 2019
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1043775646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3012984
306 HOSPITAL DR STE 204, South Williamson, KY 41503
Open in Google Maps ↗

Other Identifiers 1

Other3012984KY · Ky Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Melissa Whitt Aprn 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 ID6305179375
PECOS Enrollment IDI20190605003010
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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,812 services$1.64 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$1.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Melissa Whitt's NPI number?

The NPI number for Melissa Whitt is 1043775646. It was assigned to this individual provider in the NPPES registry on February 7, 2019.

Where is Melissa Whitt located?

Melissa Whitt practices at 306 Hospital Dr Ste 204, South Williamson, KY 41503. The listed phone number is (606) 237-5800.

What is Melissa Whitt's specialty?

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

Is Melissa Whitt enrolled in Medicare?

Yes. Melissa Whitt 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.

What insurance does Melissa Whitt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Melissa Whitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melissa Whitt affiliated with any hospitals?

According to CMS data, Melissa Whitt is affiliated with Pikeville Medical Center and Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Whitt was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.