MICHAEL JAMES WHITEHURST ACNPC-AG
NPI 1548895956
Nurse Practitioner in Elizabeth City, NC

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
1144 N ROAD ST, ELIZABETH CITY, NC 27909(252) 384-4925(252) 384-4238 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, Nov 19, 2020, Aug 20, 2020 and 1 more (4 updates tracked since 2020).

About Michael James Whitehurst Acnpc-ag NPPES

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

MICHAEL JAMES WHITEHURST ACNPC-AG (NPI 1548895956) is an individual nurse practitioner in Elizabeth City, North Carolina, licensed in North Carolina (239415) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1548895956
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICHAEL JAMES WHITEHURSTCredential: ACNPC-AG
Location Address1144 N ROAD STElizabeth City, NC 27909-3473
Mailing Address1144 N Road StElizabeth City, NC 27909-3473 · (252) 384-4925 · Fax (252) 384-4238
Fax(252) 384-4238
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 5, 2020
Last NPPES UpdateFebruary 2, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1548895956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in NC · 239415✔ Licensed in VA · 0024178964✔ Licensed in NC · 5016726
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024178964 (VA)
1144 N ROAD ST, Elizabeth City, NC 27909

Secondary Practice Location 1

Location 11950 Glenn Mitchell Dr Ste 200Virginia Beach, VA 23456-0168 · Phone (757) 507-0600 · Fax (757) 689-3785

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

Michael James Whitehurst Acnpc-ag 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 ID5496173379
PECOS Enrollment IDI20230214001233
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 Reassignments

2

Medicare enrollment records show Michael Whitehurst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
1144 N ROAD ST
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 176 clinicians in this Medicare group
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 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.

Areas of Expertise CMS Part B claims 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
110 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Internal Medicine (Infectious Disease)
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1144 N ROAD ST, (DEPARTMENT OF PHARMACV)
ELIZABETH CITY, NC 27909
Internal Medicine
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Ambulance
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Nurse Anesthetist, Certified Registered
1144 N ROAD ST
ELIZABETH CITY, NC 27909
Orthopaedic Surgery
1144 N ROAD ST, STE 200
ELIZABETH CITY, NC 27909
Anesthesiology
1144 N ROAD ST
ELIZABETH CITY, NC 27909

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 Michael Whitehurst's NPI number?

The NPI number for Michael Whitehurst is 1548895956. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Where is Michael Whitehurst located?

Michael Whitehurst practices at 1144 N Road St, Elizabeth City, NC 27909. The listed phone number is (252) 384-4925.

What is Michael Whitehurst's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michael Whitehurst enrolled in Medicare?

Yes. Michael Whitehurst 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 organizations bill Medicare for Michael Whitehurst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Whitehurst reassigns Medicare benefits to 2 organizations: Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC) and Sentara Medical Group (Norfolk, VA). Each 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 Michael Whitehurst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Whitehurst accept?

Health plans from Cigna Healthcare list Michael Whitehurst 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.

Is Michael Whitehurst affiliated with any hospitals?

According to CMS data, Michael Whitehurst is affiliated with Sentara Albemarle Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Whitehurst was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.