LYNN S WHITTAKER (CRNP) – Family Nurse Practitioner, NPI 1114367299

LYNN S WHITTAKER (CRNP) is a healthcare provider. based in State college, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP012934 (PA). The NPI Number for LYNN S WHITTAKER (CRNP) is 1114367299

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LYNN S WHITTAKER (CRNP)
NPI
1114367299
Phone
(814) 272-4400
Address
1800 E PARK AVE
Enumeration Date
3 July 2013
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8142317800
Graduation Year
2013 (13 years ago)
PAC ID
0749423242
Group Practice PAC ID
7315181229
Professional Enrollment ID
I20130903000275
Address ID
PA168036709ST235XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for LYNN S WHITTAKER (CRNP)

  • 1800 E PARK AVE

    LANCE AND ELLEN SHANER CANCER PAVILION

    STATE COLLEGE, PA 168036709

    Phone: (814) 272-4400

    Fax: (814) 231-7295

    Type: Mailing

  • 155 WELLNESS WAY

    SHANER CANCER CENTER

    STATE COLLEGE, PA 168036709

    Phone: (814) 231-7800

    Fax: (814) 231-7295

    Type: Mailing

  • 235 WELLNESS WAY

    SHANER CANCER CENTER

    STATE COLLEGE, PA 168036709

    Phone: (814) 231-7800

    Fax: (814) 231-7295

    Type: Location

  • 1800 E Park Ave

    Lance and Ellen Shaner Cancer Pavilion

    State College, PA 168036709

    Phone: (814) 272-4400

    Fax: (814) 231-7295

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $971.

Total Amount is formed as General ($971) + Research ($0) + Ownership ($0) = $971.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($162).

Total Amount

$971

General + Research + Ownership

Payments

42

Total payment records

General Amount

$971

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2013-09-03

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
I20130903000275INurse PractitionerPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 16803)

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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: 7315181229View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWI
H E M A T O L O G Y/ O N C O L O G YPA
-PA
Physician AssistantPA
Nurse PractitionerPA
-CT

Reviews

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Frequently asked questions

How do payers reference LYNN S WHITTAKER (CRNP)?
For LYNN S WHITTAKER (CRNP), use NPI 1114367299 as the unique 10-digit identifier.
Is LYNN S WHITTAKER (CRNP) still an active registrant?
LYNN S WHITTAKER (CRNP) carries an active NPI according to the public dataset.
What expertise is attributed to LYNN S WHITTAKER (CRNP)?
LYNN S WHITTAKER (CRNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LYNN S WHITTAKER (CRNP)?
Directory geography for LYNN S WHITTAKER (CRNP) centers on State College, Pennsylvania.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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