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NYDIA M WHITAKER ARNP
NPI 1639461023
Nurse Practitioner - Family in Fort Pierce, FL

Active since May 04, 2011PECOS Enrolled
800 VIRGINIA AVE STE 59B, FORT PIERCE, FL 34982(772) 577-6323 Get Directions Write a Review

NPPES record last updated: December 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 25, 2024, Dec 17, 2024, Nov 17, 2023 and 1 more (4 updates tracked since 2023).

About Nydia M Whitaker Arnp NPPES

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

NYDIA M WHITAKER ARNP (NPI 1639461023) is an individual family provider in Fort Pierce, Florida, licensed in Florida (APRN11029135) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639461023
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNYDIA M WHITAKERCredential: ARNP
Location Address800 VIRGINIA AVE STE 59BFort Pierce, FL 34982-5892
Mailing Address770 Sw Avens StPort Saint Lucie, FL 34983-8757 · (772) 380-3144 · Fax (877) 733-7082
Phone(772) 577-6323
Sole ProprietorNo
Enumeration DateMay 4, 2011
Last NPPES UpdateDecember 25, 20244 updates tracked since enumeration
NPPES CertifiedDecember 25, 2024
✔ NPI 1639461023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11029135
Also ListedContractorTaxonomy 171W00000X · License 000174302 (FL), 000174301 (FL), 000174300 (FL)
800 VIRGINIA AVE STE 59B, Fort Pierce, FL 34982
Open in Google Maps ↗

Other Identifiers 3

Medicaid000174301FL
Medicaid000174302FL
Medicaid000174300FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nydia M Whitaker Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nydia Whitaker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Back To You Physical Therapy LLC
12 mi
Physical Therapist
3002 SW PORT ST LUCIE BLVD
Port Saint Lucie, FL 34953
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group
NPI 1427783844 (570) 204-5121
Jmg Medical Associates LLC
17 mi
Family Medicine
1600 37TH ST
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1629650841 (845) 803-9267

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 34982 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Nydia Whitaker's NPI number?

The NPI number for Nydia Whitaker is 1639461023. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Nydia Whitaker located?

Nydia Whitaker practices at 800 Virginia Ave Ste 59B, Fort Pierce, FL 34982. The listed phone number is (772) 577-6323.

What is Nydia Whitaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nydia Whitaker enrolled in Medicare?

Yes. Nydia Whitaker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nydia Whitaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nydia Whitaker reassigns Medicare benefits to 2 organizations: Back To You Physical Therapy LLC (Port Saint Lucie, FL) and Jmg Medical Associates LLC (Vero Beach, FL). 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 Nydia Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nydia Whitaker was last updated on December 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.