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WHITNEY BONI PRUITT AGNP
NPI 1104543545
Nurse Practitioner in Shallotte, NC

Active since October 26, 2022PECOS EnrolledAccepts Medicare Assignment
512 VILLAGE RD STE 207, SHALLOTTE, NC 28470(910) 662-7500(910) 662-7501 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Oct 26, 2022 (2 updates tracked since 2022).

About Whitney Boni Pruitt Agnp NPPES

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

WHITNEY BONI PRUITT AGNP (NPI 1104543545) is an individual nurse practitioner in Shallotte, North Carolina, licensed in North Carolina (5017081) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Healthcare System, and maintains a secondary practice location in Tabor City.

NPPES Registry Identity

NPI1104543545
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY BONI PRUITTCredential: AGNP
Location Address512 VILLAGE RD STE 207Shallotte, NC 28470-3409
Mailing AddressPo Box 936857Atlanta, GA 31193-6857
Phone(910) 662-7500
Fax(910) 662-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 26, 2022
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1104543545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5017081
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.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5017081 (NC)
512 VILLAGE RD STE 207, Shallotte, NC 28470
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Secondary Practice Location 1

Location 1270 u.s. 701, tabor city, nc, 28463Tabor City, NC 28463-2846 · Phone (910) 653-1901 · Fax (910) 320-8435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Whitney Boni Pruitt Agnp 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 ID8820467418
PECOS Enrollment IDI20221202001170
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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28470 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Neurology)
512 VILLAGE RD STE 207
SHALLOTTE, NC 28470
Brunswick County (910) 721-4220

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 Pruitt's NPI number?

The NPI number for Whitney Pruitt is 1104543545. It was assigned to this individual provider in the NPPES registry on October 26, 2022.

Where is Whitney Pruitt located?

Whitney Pruitt practices at 512 Village Rd Ste 207, Shallotte, NC 28470. The listed phone number is (910) 662-7500.

What is Whitney Pruitt's specialty?

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

Is Whitney Pruitt enrolled in Medicare?

Yes. Whitney Pruitt 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 Whitney Pruitt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Whitney Pruitt 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 Whitney Pruitt affiliated with any hospitals?

According to CMS data, Whitney Pruitt is affiliated with Columbus Regional Healthcare System.

When was this NPI record last updated?

The NPPES record for Whitney Pruitt was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.