TONYA WHITAKER N.P.
NPI 1881128536
Nurse Practitioner - Family in Clinton, IN
About Tonya Whitaker N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONYA WHITAKER N.P. (NPI 1881128536) is an individual family provider in Clinton, Indiana, licensed in Indiana (71007095A) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mooresville, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
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
Tonya Whitaker N.p. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tonya Whitaker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46237
- Reassigned Medicare billing, Indiana enrollment
- 1,396 clinicians in this Medicare group
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Indiana enrollment
- 171 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47842 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLINTON, IN 47842
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 Tonya Whitaker's NPI number?
The NPI number for Tonya Whitaker is 1881128536. It was assigned to this individual provider in the NPPES registry on April 19, 2017.
Where is Tonya Whitaker located?
Tonya Whitaker practices at 1764 E. State Route 163, Clinton, IN 47842. The listed phone number is (765) 820-2120.
What is Tonya Whitaker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tonya Whitaker enrolled in Medicare?
Yes. Tonya Whitaker 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 Tonya Whitaker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Whitaker reassigns Medicare benefits to 3 organizations: Franciscan Physician Network (Indianapolis, IN), Fast Pace Medical Clinic PLLC (Hanover, IN) and Upperline Healthcare, PC (Hoover, AL). 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 Tonya Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonya Whitaker accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Tonya Whitaker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tonya Whitaker was last updated on September 11, 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.
# Tonya Whitaker, N.P. · NPI 1881128536
Family physician in Clinton, Indiana. Individual provider, active in the CMS NPPES registry since April 19, 2017.
## Identity
- **NPI:** 1881128536 (Entity type: Individual)
- **Enumerated:** April 19, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71007095A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1764 E. STATE ROUTE 163, Clinton, IN 47842
- **Phone:** (765) 820-2120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Franciscan Physician Network (NPI 1225327984, Indianapolis, IN); Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1881128536) · Data from the CMS NPPES public registry.