ELIZABETH BROOKE WHITTEN (FNP) – Family Nurse Practitioner, NPI 1114281631

ELIZABETH BROOKE WHITTEN (FNP) is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 696475 (TX). The NPI Number for ELIZABETH BROOKE WHITTEN (FNP) is 1114281631

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BROOKE WHITTEN (FNP)
NPI
1114281631
Phone
(361) 522-5172
Address
1927 LOHMANS CROSSING RD
Enumeration Date
28 June 2012
Last Update Date
4 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8338822737
Graduation Year
2012 (14 years ago)
PAC ID
3779872668
Group Practice PAC ID
2668559436
Professional Enrollment ID
I20160517000253
Address ID
TX787121765AU1601XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ELIZABETH BROOKE WHITTEN (FNP)

  • 1927 LOHMANS CROSSING RD

    STE 200

    AUSTIN, TX 787345243

    Phone: (361) 522-5172

    Type: Mailing

  • 6836 BEE CAVE RD

    SUITE 112

    AUSTIN, TX 787465059

    Phone: (512) 327-4243

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-05-17

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
I20160517000253INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78734)

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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: 2668559436View full group profile
NameSpecialtyState
-CO
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
-TX
P S Y C H I A T R YTX
Physician AssistantTX
Physician AssistantTX
General Surgery, Colorectal Surgery (Proctology)TX
O P H T H A L M O L O G YWI

Reviews

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Frequently asked questions

How is ELIZABETH BROOKE WHITTEN (FNP) identified in CMS data?
CMS-hosted NPPES data lists ELIZABETH BROOKE WHITTEN (FNP) with NPI 1114281631.
Can I rely on ELIZABETH BROOKE WHITTEN (FNP) being an active provider?
As of the registry snapshot, ELIZABETH BROOKE WHITTEN (FNP) is marked active.
What taxonomy line describes ELIZABETH BROOKE WHITTEN (FNP)?
For research purposes, treat ELIZABETH BROOKE WHITTEN (FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ELIZABETH BROOKE WHITTEN (FNP)?
ELIZABETH BROOKE WHITTEN (FNP)'s geographic hint is Austin, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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