ERICA NICOLE MCWHORTER-HILL ARNP
NPI 1982852893
Nurse Practitioner - Family in Burkesville, KY

Active since September 04, 2008PECOS EnrolledAccepts Medicare Assignment
97.35/100
CMS Quality Rating
333 KEEN ST, BURKESVILLE, KY 42717(270) 864-3371(270) 864-5667 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Apr 22, 2019 (2 updates tracked since 2019).

About Erica Nicole Mcwhorter-hill Arnp NPPES

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

ERICA NICOLE MCWHORTER-HILL ARNP (NPI 1982852893) is an individual family provider in Burkesville, Kentucky, licensed in Kentucky (3005690) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Cumberland County Hospital, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1982852893
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA NICOLE MCWHORTER-HILLCredential: ARNP
Location Address333 KEEN STBurkesville, KY 42717-7682
Mailing Address333 Keen StBurkesville, KY 42717-7682 · (270) 864-3371 · Fax (270) 864-5667
Fax(270) 864-5667
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 4, 2008
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1982852893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in KY · 3005690 Licensed in TN · 32263
333 KEEN ST, Burkesville, KY 42717

Secondary Practice Location 1

Location 1817 W Main StLivingston, TN 38570-1721 · Phone (931) 219-2091 · Fax (931) 219-2182

Other Identifiers 1

Medicaid7100073680KY

Accepted 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

Erica Nicole Mcwhorter-hill Arnp 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 ID9739374620
PECOS Enrollment IDI20101117001256, I20231116003138
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland County Hospital

Critical Access Hospitals · Burkesville, KY
OwnershipGovernment - Local
CMS Certification Number181317
Location299 Glasgow RoadBurkesville, KY 42717 · Cumberland County
Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42717 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability91
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$1.42 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers30 claims30 services$7.96 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier54 claims54 services$112.21 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers28 claims3,258 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers20 claims20 services$26.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
333 KEEN ST
BURKESVILLE, KY 42717
Clinic/Center (Rural Health)
333 KEEN ST
BURKESVILLE, KY 42717
Family Medicine
333 KEEN ST
BURKESVILLE, KY 42717

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 Erica Mcwhorter-hill's NPI number?

The NPI number for Erica Mcwhorter-hill is 1982852893. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Where is Erica Mcwhorter-hill located?

Erica Mcwhorter-hill practices at 333 Keen St, Burkesville, KY 42717. The listed phone number is (270) 864-3371.

What is Erica Mcwhorter-hill's specialty?

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

Is Erica Mcwhorter-hill enrolled in Medicare?

Yes. Erica Mcwhorter-hill 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.

What insurance does Erica Mcwhorter-hill accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Erica Mcwhorter-hill 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.

Is Erica Mcwhorter-hill affiliated with any hospitals?

According to CMS data, Erica Mcwhorter-hill is affiliated with Cumberland County Hospital and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Erica Mcwhorter-hill was last updated on November 13, 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.