KAYLA BERNICE WHITWORTH PA
NPI 1215741962
Physician Assistant - Medical in Freeburg, IL

Active since February 04, 2025PECOS EnrolledAccepts Medicare Assignment
251 MARKETPLACE DR STE 1, FREEBURG, IL 62243(618) 539-0067 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 2, 2025, Feb 4, 2025 (2 updates tracked since 2025).

About Kayla Bernice Whitworth Pa NPPES

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

KAYLA BERNICE WHITWORTH PA (NPI 1215741962) is an individual medical provider in Freeburg, Illinois, licensed in Illinois (085011071) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1215741962
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAYLA BERNICE WHITWORTHCredential: PA
Location Address251 MARKETPLACE DR STE 1Freeburg, IL 62243-4082
Mailing Address739 N Jefferson St Ste 200Mascoutah, IL 62258-1447 · (618) 566-8810
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 4, 2025
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
✔ NPI 1215741962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085011071
251 MARKETPLACE DR STE 1, Freeburg, IL 62243

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

Kayla Bernice Whitworth Pa 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 ID2769988518
PECOS Enrollment IDI20251001001884
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.

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

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 Kayla Whitworth's NPI number?

The NPI number for Kayla Whitworth is 1215741962. It was assigned to this individual provider in the NPPES registry on February 4, 2025.

Where is Kayla Whitworth located?

Kayla Whitworth practices at 251 Marketplace Dr Ste 1, Freeburg, IL 62243. The listed phone number is (618) 539-0067.

What is Kayla Whitworth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kayla Whitworth enrolled in Medicare?

Yes. Kayla Whitworth 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.

Is Kayla Whitworth affiliated with any hospitals?

According to CMS data, Kayla Whitworth is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Whitworth was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.