1. Home
  2. Directory
  3. Alabama
  4. Tuscaloosa
  5. Nurse Practitioner
  6. NPI Profile

VALENCIA WITHERSPOON
NPI 1154046084
Nurse Practitioner - Family in Tuscaloosa, AL

Active since October 04, 2022PECOS EnrolledAccepts Medicare Assignment
710 15TH ST E, TUSCALOOSA, AL 35401(205) 526-2053 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Valencia Witherspoon NPPES

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

VALENCIA WITHERSPOON (NPI 1154046084) is an individual family provider in Tuscaloosa, Alabama, licensed in Alabama (1-175870) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2025).

NPPES Registry Identity

NPI1154046084
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALENCIA WITHERSPOON
Location Address710 15TH ST ETuscaloosa, AL 35401-3236
Mailing Address3550 Grandview PkwyBirmingham, AL 35243-1949
Phone(205) 526-2053
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2025
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1154046084 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 AL · 1-175870
710 15TH ST E, Tuscaloosa, AL 35401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Valencia Witherspoon 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 ID8527435353
PECOS Enrollment IDI20221107002794, I20251021004900, I20251111003240, I20260112003315
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Valencia Witherspoon reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC
1.1 mi
Primary Care
710 15TH STREET EAST
Tuscaloosa, AL 35401
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1851822100 (205) 526-2053
Upperline Healthcare, PC
45 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Alabama, Arkansas, Indiana, Kentucky, Louisiana, Mississippi, North Carolina and Tennessee enrollments
  • 140 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402
Fast Pace Medical Clinic PLLC
110 mi
Family Medicine
416 N SEMINARY ST STE 1100
Florence, AL 35630
  • Reassigned Medicare billing, Alabama, Tennessee and Indiana enrollments
  • Also billed through NPI 1134452865 (Tennessee), NPI 1649770769 (Indiana)
  • 179 clinicians in this Medicare group
NPI 1639679962 (931) 253-1110
Advantage Family Care Inc
113 mi
Urgent Care
202 COX CREEK PKWY
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
NPI 1023447943 (256) 349-5496
Rural Urgent Care LLC
125 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 276 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088
Fast Pace Mississippi, PLLC
132 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi and Arkansas enrollments
  • Also billed through NPI 1982361259 (Arkansas)
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206
Fast Pace Kentucky PLLC
247 mi
Family
1475 NASHVILLE RD
Franklin, KY 42134
  • Reassigned Medicare billing, Kentucky and North Carolina enrollments
  • Also billed through NPI 1609634633 (North Carolina)
  • 427 clinicians in this Medicare group
NPI 1457716706 (270) 813-1111
Calcasieu Urgent Care LLC
396 mi
Urgent Care
2640 COUNTRY CLUB RD, SUITE 400
Lake Charles, LA 70605
  • Reassigned Medicare billing, Louisiana enrollment
  • 314 clinicians in this Medicare group
NPI 1467715490 (931) 253-1110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
79 services13 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services25 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
27 services25 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
26 services23 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services17 patients
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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35401 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 7

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

SAMUEL MILFRED REEVES PA
Physician Assistant
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 526-2053
MRS. ELIZABETH ROSE MERKLE FNP-C
Nurse Practitioner (Family)
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 526-2053
JEFFREY E BURKETT
Nurse Practitioner
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 509-2941
DR. ELAINA G SEXTON M.D.
General Practice
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 509-2941
LORA LEIGH FROST CRNP
Nurse Practitioner (Family)
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 526-2053
KEONNA CHERELLE BETTS CRNP
Nurse Practitioner
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 526-2053
DR. MARLENE MCWHIRTER HOWELL FNP-C
Nurse Practitioner (Family)
710 15TH ST E
TUSCALOOSA, AL 35401
Tuscaloosa County (205) 526-2053

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 Valencia Witherspoon's NPI number?

The NPI number for Valencia Witherspoon is 1154046084. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Valencia Witherspoon located?

Valencia Witherspoon practices at 710 15th St E, Tuscaloosa, AL 35401. The listed phone number is (205) 526-2053.

What is Valencia Witherspoon's specialty?

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

Is Valencia Witherspoon enrolled in Medicare?

Yes. Valencia Witherspoon 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.

Which organizations bill Medicare for Valencia Witherspoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valencia Witherspoon reassigns Medicare benefits to 8 organizations: American Family Care, LLC (Tuscaloosa, AL), Upperline Healthcare, PC (Hoover, AL), Fast Pace Medical Clinic PLLC (Florence, AL), Advantage Family Care Inc (Florence, AL), Rural Urgent Care LLC (Centre, AL) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valencia Witherspoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valencia Witherspoon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 13 other insurers list Valencia Witherspoon 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.

When was this NPI record last updated?

The NPPES record for Valencia Witherspoon was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.