KEISHA WITHERSPOON
NPI 1164974986
Nurse Practitioner - Psychiatric/Mental Health in Cedar Hill, TX

Q: What is Keisha Witherspoon's NPI number?

The NPI number for Keisha Witherspoon is 1164974986. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Keisha Witherspoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 27, 2016PECOS Enrolled

610 UPTOWN BLVD STE 2000, CEDAR HILL, TX 75104(972) 716-2969(214) 594-8747 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2023, Feb 12, 2020, Sep 7, 2019 and 2 more (5 updates tracked since 2016).

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About Keisha Witherspoon NPPES

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

KEISHA WITHERSPOON (NPI 1164974986) is an individual psychiatric/mental health provider in Cedar Hill, Texas, licensed in Texas (AP132272) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1164974986

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKEISHA WITHERSPOON

Location Address610 UPTOWN BLVD STE 2000Cedar Hill, TX 75104-3528

Mailing Address610 Uptown Blvd Ste 2000Cedar Hill, TX 75104-3528 · (972) 716-2969 · Fax (214) 594-8747

Phone(972) 716-2969

Fax(214) 594-8747

Sole ProprietorNo

Enumeration DateOctober 27, 2016

Last NPPES UpdateFebruary 2, 20235 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1164974986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in TX · AP132272✔ Licensed in OR · 201902386NP-PP

610 UPTOWN BLVD STE 2000, Cedar Hill, TX 75104

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Secondary Practice Location 1

Location 1182 SW Academy St Ste 333Dallas, OR 97338-1996 · Phone (503) 623-9289

Other Identifiers 2

Other743838TX · License

OtherAP132272TX · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha Witherspoon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Keisha Witherspoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Witherspoon Mental Health And Wellness, PLLC

Same address

Psychiatric/Mental Health

610 UPTOWN BLVD STE 2000
Cedar Hill, TX 75104

Reassigned Medicare billing, Texas enrollment

NPI 1447809983 (972) 716-2969

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75104 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

PCDI HEALTHCARE AND CONSULTANTS OF TEXAS

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