KRISTEN DAWN WITHERITE CRNP
NPI 1609531318
Nurse Practitioner in Du Bois, PA

Active since November 08, 2021PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-6470 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 13, 2025, Nov 5, 2025, Nov 8, 2021 (3 updates tracked since 2021).

About Kristen Dawn Witherite Crnp NPPES

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

KRISTEN DAWN WITHERITE CRNP (NPI 1609531318) is an individual nurse practitioner in Du Bois, Pennsylvania, licensed in Pennsylvania (SP024741) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609531318
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTEN DAWN WITHERITECredential: CRNP
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 8, 2021
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1609531318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP024741
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.
100 HOSPITAL AVE, Du Bois, PA 15801

Other Names 1

Former Name (1)Kristen Dawn Hines Crnp

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

Kristen Dawn Witherite Crnp 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 ID749672962
PECOS Enrollment IDI20220120002847
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

3

Medicare enrollment records show Kristen Witherite reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
100 HOSPITAL AVE
Du Bois, PA 15801
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1245410554 (Pennsylvania)
  • 168 clinicians in this Medicare group
Multi-Specialty
100 HOSPITAL RD
Brookville, PA 15825
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1063560852 (Pennsylvania)
  • 34 clinicians in this Medicare group
Emergency Medicine
763 JOHNSONBURG RD
Saint Marys, PA 15857
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 82 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services32 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
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.

Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Kristen Witherite's NPI number?

The NPI number for Kristen Witherite is 1609531318. It was assigned to this individual provider in the NPPES registry on November 8, 2021. The provider is also known as Kristen Dawn Hines Crnp.

Where is Kristen Witherite located?

Kristen Witherite practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-6470.

What is Kristen Witherite's specialty?

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

Is Kristen Witherite enrolled in Medicare?

Yes. Kristen Witherite 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 Kristen Witherite's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Witherite reassigns Medicare benefits to 3 organizations: Dubois Regional Medical Center (Du Bois, PA), Brookville Hospital (Brookville, PA) and Elk Regional Health Center (Saint Marys, PA). 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 Kristen Witherite's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kristen Witherite affiliated with any hospitals?

According to CMS data, Kristen Witherite is affiliated with Penn Highlands Dubois and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Kristen Witherite was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.