Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MICAYLA EVE WITHERITE NP
NPI 1770414773
Nurse Practitioner - Family in Indianapolis, IN

Active since May 27, 2026PECOS Enrolled
6820 PARKDALE PL STE 212, INDIANAPOLIS, IN 46254(317) 219-2700 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 3, 2026, May 27, 2026 (2 updates tracked since 2026).

About Mrs. Micayla Eve Witherite Np NPPES

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

MRS. MICAYLA EVE WITHERITE NP (NPI 1770414773) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71018178A) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770414773
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICAYLA EVE WITHERITECredential: NP
Location Address6820 PARKDALE PL STE 212Indianapolis, IN 46254-6600
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 27, 2026
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
NPI 1770414773 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 IN · 71018178A
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 71018178A (IN)
6820 PARKDALE PL STE 212, Indianapolis, IN 46254

Other Identifiers 1

Medicaid300134956IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Micayla Eve Witherite Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264997766
PECOS Enrollment IDI20260724000307
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46254 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
6820 PARKDALE PL STE 212
INDIANAPOLIS, IN 46254
Physician Assistant
6820 PARKDALE PL STE 212
INDIANAPOLIS, IN 46254

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 Micayla Witherite's NPI number?

The NPI number for Micayla Witherite is 1770414773. It was assigned to this individual provider in the NPPES registry on May 27, 2026.

Where is Micayla Witherite located?

Micayla Witherite practices at 6820 Parkdale Pl Ste 212, Indianapolis, IN 46254. The listed phone number is (317) 219-2700.

What is Micayla Witherite's specialty?

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

Is Micayla Witherite enrolled in Medicare?

Yes. Micayla Witherite is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Micayla Witherite was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.