KATHRYN WHITTAKER AGACNP-BC
NPI 1396574380
Nurse Practitioner - Gerontology in Albuquerque, NM
About Kathryn Whittaker Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN WHITTAKER AGACNP-BC (NPI 1396574380) is an individual gerontology provider in Albuquerque, New Mexico, licensed in New Mexico (55280) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Kathryn Whittaker Agacnp-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 Kathryn Whittaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 10 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lovelace Medical Center
Acute Care Hospitals · Albuquerque, NMPresbyterian Hospital
Acute Care Hospitals · Albuquerque, NMLovelace Westside Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
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 Kathryn Whittaker's NPI number?
The NPI number for Kathryn Whittaker is 1396574380. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Kathryn Whittaker located?
Kathryn Whittaker practices at 5981 Jefferson St NE Ste A, Albuquerque, NM 87109. The listed phone number is (505) 370-9600.
What is Kathryn Whittaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Kathryn Whittaker enrolled in Medicare?
Yes. Kathryn Whittaker 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 Kathryn Whittaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Whittaker reassigns Medicare benefits to Southwest Kidney Care, LLC (Albuquerque, NM). 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 Kathryn Whittaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathryn Whittaker affiliated with any hospitals?
According to CMS data, Kathryn Whittaker is affiliated with Lovelace Medical Center, Presbyterian Hospital and Lovelace Westside Hospital.
When was this NPI record last updated?
The NPPES record for Kathryn Whittaker was last updated on July 29, 2024. 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.
# Kathryn Whittaker, AGACNP-BC · NPI 1396574380
Gerontology physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1396574380 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 55280 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 5981 JEFFERSON ST NE STE A, Albuquerque, NM 87109-3457
- **Phone:** (505) 370-9600
## 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:** Southwest Kidney Care, LLC (NPI 1730795501, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1396574380) · Data from the CMS NPPES public registry.