RENATA WHITLOCK PA-C
NPI 1912410309
Physician Assistant in Phoenix, AZ

Q: What is Renata Whitlock's NPI number?

The NPI number for Renata Whitlock is 1912410309. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Q: What is Renata Whitlock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Renata Whitlock was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment

3330 N 2ND ST STE 601, PHOENIX, AZ 85012(602) 230-7373(602) 230-5105 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 4, 2023, Dec 7, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Renata Whitlock Pa-c NPPES

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

RENATA WHITLOCK PA-C (NPI 1912410309) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6790) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912410309

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameRENATA WHITLOCKCredential: PA-C

Location Address3330 N 2ND ST STE 601Phoenix, AZ 85012-2395

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(602) 230-5105

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 8, 2017

Last NPPES UpdateDecember 4, 20234 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1912410309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 6790

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 6790 (AZ)

3330 N 2ND ST STE 601, Phoenix, AZ 85012

Open in Google Maps ↗

Secondary Practice Locations 2

Location 13033 N Central Ave Ste 700Phoenix, AZ 85012-2806 · Phone (602) 230-7373

Location 23620 N 3rd StPhoenix, AZ 85012-2020 · Phone (602) 230-7373 · Fax (602) 230-5105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Renata Whitlock Pa-c 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.

PECOS PAC ID3678839107

PECOS Enrollment IDI20171115003334

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.

Areas of Expertise CMS Part B claims

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

76 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

MATTHEW JOYCE LPC

Counselor