Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MERCEDES DANIELLE WITT PA-C
NPI 1154965242
Physician Assistant in Fort Campbell, KY

Q: What is Mercedes Witt's NPI number?

The NPI number for Mercedes Witt is 1154965242. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Q: What is Mercedes Witt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mercedes Witt was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 October 31, 2019PECOS EnrolledAccepts Medicare Assignment

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Nov 12, 2025, May 18, 2021 and 3 more (6 updates tracked since 2019).

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About Mrs. Mercedes Danielle Witt Pa-c NPPES

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

MRS. MERCEDES DANIELLE WITT PA-C (NPI 1154965242) is an individual physician assistant in Fort Campbell, Kentucky, licensed in Tennessee (4401) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Tristar Northcrest Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154965242

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MERCEDES DANIELLE WITTCredential: PA-C

Location Address650 JOEL DRFort Campbell, KY 42223-8355

Mailing Address650 Joel DrFort Campbell, KY 42223-8355 · (270) 798-8400

Phone(270) 798-8400

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 31, 2019

Last NPPES UpdateJuly 15, 20266 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1154965242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TN · 4401

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

650 JOEL DR, Fort Campbell, KY 42223

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Accepted Insurance

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

Mrs. Mercedes Danielle Witt Pa-c 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 ID2668871369

PECOS Enrollment IDI20221116002578

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services65 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.

34 services26 patients

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420

This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440065

Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42223 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

LISA RENEE CORDELL RN

Registered Nurse