EVAN WITHERINGTON PMHNP-BC
NPI 1205165651
Nurse Practitioner - Psychiatric/Mental Health in Clarksville, TN
About Evan Witherington Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN WITHERINGTON PMHNP-BC (NPI 1205165651) is an individual psychiatric/mental health provider in Clarksville, Tennessee, licensed in Tennessee (15617) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Evan Witherington Pmhnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Witherington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37217
- Reassigned Medicare billing, Tennessee enrollment
- 181 clinicians in this Medicare group
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 37040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLARKSVILLE, TN 37040
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 Evan Witherington's NPI number?
The NPI number for Evan Witherington is 1205165651. It was assigned to this individual provider in the NPPES registry on December 14, 2009.
Where is Evan Witherington located?
Evan Witherington practices at 511 8th St, Clarksville, TN 37040. The listed phone number is (931) 920-7200.
What is Evan Witherington's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Evan Witherington enrolled in Medicare?
Yes. Evan Witherington 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 organization bills Medicare for Evan Witherington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Witherington reassigns Medicare benefits to Centerstone Of Tennessee, Inc. (Nashville, TN). The 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 Evan Witherington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evan Witherington accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Evan Witherington 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 Evan Witherington was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Evan Witherington, PMHNP-BC · NPI 1205165651
Psychiatric/Mental Health physician in Clarksville, Tennessee. Individual provider, active in the CMS NPPES registry since December 14, 2009.
## Identity
- **NPI:** 1205165651 (Entity type: Individual)
- **Enumerated:** December 14, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 15617 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 511 8TH ST, Clarksville, TN 37040-3093
- **Phone:** (931) 920-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Centerstone Of Tennessee, Inc. (NPI 1396767430, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1205165651) · Data from the CMS NPPES public registry.