WHITNEY D BAGBY PMHNP
NPI 1669989752
Nurse Practitioner in San Francisco, CA

Active since January 10, 2018PECOS Enrolled
245 11TH ST, SAN FRANCISCO, CA 94103(415) 355-0311 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2023, Aug 2, 2022, May 24, 2019 and 1 more (4 updates tracked since 2018).

About Whitney D Bagby Pmhnp NPPES

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

WHITNEY D BAGBY PMHNP (NPI 1669989752) is an individual nurse practitioner in San Francisco, California, licensed in California (95021750) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669989752
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY D BAGBYCredential: PMHNP
Location Address245 11TH STSan Francisco, CA 94103-3732
Mailing Address245 11th StSan Francisco, CA 94103-3732 · (415) 355-0311
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 10, 2018
Last NPPES UpdateJuly 26, 20234 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1669989752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95021750
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 ListedRegistered NurseTaxonomy 163W00000X · License 95228740 (CA)
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95021750 (CA)
245 11TH ST, San Francisco, CA 94103

Secondary Practice Locations 3

Location 152 Dore StSan Francisco, CA 94103-3828 · Phone (415) 861-0828
Location 2368 Fell StSan Francisco, CA 94102-5144 · Phone (415) 861-0828
Location 34150 Clement StSan Francisco, CA 94121-1563 · Phone (415) 221-4810

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Whitney D Bagby Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092178749
PECOS Enrollment IDI20230828003270
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

6

Medicare enrollment records show Whitney Bagby reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
245 11TH ST
San Francisco, CA 94103
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
Community/Behavioral Health
1380 HOWARD ST.
San Francisco, CA 94103
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94103 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 (Psychiatric/Mental Health)
245 11TH ST
SAN FRANCISCO, CA 94103
Student in an Organized Health Care Education/Training Program
245 11TH ST
SAN FRANCISCO, CA 94103
Specialist
245 11TH ST
SAN FRANCISCO, CA 94103
Community Health Worker
245 11TH ST
SAN FRANCISCO, CA 94103
Licensed Vocational Nurse
245 11TH ST
SAN FRANCISCO, CA 94103
Counselor (Mental Health)
245 11TH ST
SAN FRANCISCO, CA 94103
Student in an Organized Health Care Education/Training Program
245 11TH ST
SAN FRANCISCO, CA 94103
Specialist
245 11TH ST
SAN FRANCISCO, CA 94103

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 Whitney Bagby's NPI number?

The NPI number for Whitney Bagby is 1669989752. It was assigned to this individual provider in the NPPES registry on January 10, 2018.

Where is Whitney Bagby located?

Whitney Bagby practices at 245 11th St, San Francisco, CA 94103. The listed phone number is (415) 355-0311.

What is Whitney Bagby's specialty?

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

Is Whitney Bagby enrolled in Medicare?

Yes. Whitney Bagby is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Whitney Bagby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Bagby reassigns Medicare benefits to 6 organizations: Westside Community Mental Health Center (San Francisco, CA), City & County Of San Francisco (San Francisco, CA), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and 1 more organization, listed in the Medicare section above. 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 Whitney Bagby'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 Whitney Bagby was last updated on July 26, 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.