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ANTHA KIMBERLY WHITENER ANP
NPI 1194030288
Nurse Practitioner - Adult Health in Newton, NC

Active since August 12, 2010PECOS Enrolled
82.33/100
CMS Quality Rating
3975 ROBINSON RD, NEWTON, NC 28658(828) 466-0466(828) 466-8862 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2023, Jul 28, 2023 (2 updates tracked since 2023).

About Antha Kimberly Whitener Anp NPPES

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

ANTHA KIMBERLY WHITENER ANP (NPI 1194030288) is an individual adult health provider in Newton, North Carolina, licensed in North Carolina (5004839) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194030288
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameANTHA KIMBERLY WHITENERCredential: ANP
Location Address3975 ROBINSON RDNewton, NC 28658-9715
Mailing Address3975 Robinson RdNewton, NC 28658-9715 · (828) 466-0466 · Fax (828) 466-8862
Phone(828) 466-0466
Fax(828) 466-8862
Sole ProprietorNo
Enumeration DateAugust 12, 2010
Last NPPES UpdateNovember 16, 20232 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1194030288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 5004839
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5004839 (NC)
3975 ROBINSON RD, Newton, NC 28658
Open in Google Maps ↗

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 (PECOS)

Antha Kimberly Whitener Anp 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.

Areas of Expertise CMS Part B claims 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
103 services56 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
84 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
22 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
22 services18 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
20 services15 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28658 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.

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.

82.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.64
Improvement Activities40
Cost55.79

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.

DUSTIN FORD FNP
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
MR. ERIC WAYNE PARKER FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
ROBIN JOHNSON SHERRILL FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
MISS PAIGE ALEXIS BORTNICK FNP
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
CAROLINA CARING SERIOUS ILLNESS, LLC
Family Medicine (Hospice and Palliative Medicine)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
CHERYL ANNE STACY NP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
EMILY GRACE BUTLER FNP-C
Nurse Practitioner (Family)
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466
CAROLINA CARING HEALTH PARTNERS, LLC
Family Medicine
3975 ROBINSON RD
NEWTON, NC 28658
Catawba County (828) 466-0466

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 Antha Whitener's NPI number?

The NPI number for Antha Whitener is 1194030288. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Where is Antha Whitener located?

Antha Whitener practices at 3975 Robinson Rd, Newton, NC 28658. The listed phone number is (828) 466-0466.

What is Antha Whitener's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Antha Whitener enrolled in Medicare?

Yes. Antha Whitener is registered in the Medicare PECOS enrollment system.

What insurance does Antha Whitener accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Antha Whitener 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 Antha Whitener was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.