WHITNEY TYLER TEMPLE (PA-C) – Registered Dietitian, NPI 1336591122

WHITNEY TYLER TEMPLE (PA-C) is a healthcare provider. based in Niceville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA214745 (OR). The NPI Number for WHITNEY TYLER TEMPLE (PA-C) is 1336591122

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
WHITNEY TYLER TEMPLE (PA-C)
NPI
1336591122
Phone
Not provided
Address
2190 HIGHWAY 85 N
Enumeration Date
6 July 2016
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032396673
Graduation Year
2022 (4 years ago)
PAC ID
2860867165
Group Practice PAC ID
2860390408
Professional Enrollment ID
I20230418001356
Address ID
OR972132990PO5050XHOYT302

Contacts

Secure Messaging
referringpsd@1243.direct.myezyaccess.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for WHITNEY TYLER TEMPLE (PA-C)

  • 2190 HIGHWAY 85 N

    NICEVILLE, FL 325781045

    Phone:

    Type: Mailing

  • 9155 SW Barnes Rd Ste 532

    Portland, OR 972256632

    Phone: (503) 488-2344

    Fax: (503) 488-2360

    Type: Location

  • 541 NE 20TH AVE STE 225

    PORTLAND, OR 972322895

    Phone: (503) 963-2801

    Type: Mailing

  • 5050 NE HOYT ST STE 422

    PORTLAND, OR 972132984

    Phone: (503) 488-2345

    Fax: (503) 488-2350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$51
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230418001356IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860390408View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
-OR
O T O L A R Y N G O L O G YOR
Internal Medicine, GastroenterologyOR
Gastroenterology, Internal MedicineOR
-OR
-OR
Qualified AudiologistOR
Physician AssistantOR
N E U R O S U R G E R YOR

Reviews

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Frequently asked questions

What federal number belongs to WHITNEY TYLER TEMPLE (PA-C)?
The federal identifier for WHITNEY TYLER TEMPLE (PA-C) is NPI 1336591122.
Is WHITNEY TYLER TEMPLE (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize WHITNEY TYLER TEMPLE (PA-C)'s specialty in plain language?
Clinically, the directory lists WHITNEY TYLER TEMPLE (PA-C) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What location shows for WHITNEY TYLER TEMPLE (PA-C)?
We surface Niceville, Florida for WHITNEY TYLER TEMPLE (PA-C) based on available NPPES addresses.
Is WHITNEY TYLER TEMPLE (PA-C) a real provider?
This page reflects official NPPES data for NPI 1336591122. Always confirm identity and privileges with the practice and licensing boards.

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