TYEISHA WILKINS WITHERSPOON AGPCNP
NPI 1720800600
Nurse Practitioner - Primary Care in Ellicott City, MD
About Tyeisha Wilkins Witherspoon Agpcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYEISHA WILKINS WITHERSPOON AGPCNP (NPI 1720800600) is an individual primary care provider in Ellicott City, Maryland, licensed in Maryland (R223487) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyeisha Wilkins Witherspoon Agpcnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tyeisha Wilkins Witherspoon's NPI number?
The NPI number for Tyeisha Wilkins Witherspoon is 1720800600. It was assigned to this individual provider in the NPPES registry on October 30, 2024.
Where is Tyeisha Wilkins Witherspoon located?
Tyeisha Wilkins Witherspoon practices at 4801 Dorsey Hall Dr Ste 226, Ellicott City, MD 21042. The listed phone number is (410) 997-7660.
What is Tyeisha Wilkins Witherspoon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tyeisha Wilkins Witherspoon enrolled in Medicare?
Yes. Tyeisha Wilkins Witherspoon 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.
When was this NPI record last updated?
The NPPES record for Tyeisha Wilkins Witherspoon was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Tyeisha Wilkins Witherspoon, AGPCNP · NPI 1720800600
Primary Care physician in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since October 30, 2024.
## Identity
- **NPI:** 1720800600 (Entity type: Individual)
- **Enumerated:** October 30, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R223487 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4801 DORSEY HALL DR STE 226, Ellicott City, MD 21042-7764
- **Phone:** (410) 997-7660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720800600) · Data from the CMS NPPES public registry.