MRS. CORRINE WHITAKER (PMHNP-STUDENT) – Psychiatric/Mental Health Registered Nurse, NPI 1093395469

MRS. CORRINE WHITAKER (PMHNP-STUDENT) is a healthcare provider. based in Lehi, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-STUDENT. They hold a License No. 6263133-3102 (UT). The NPI Number for MRS. CORRINE WHITAKER (PMHNP-STUDENT) is 1093395469

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CORRINE WHITAKER (PMHNP-STUDENT)
NPI
1093395469
Phone
(801) 224-3014
Address
2135 W MAIN ST STE B207
Enumeration Date
10 April 2021
Last Update Date
17 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012243014
Graduation Year
2022 (4 years ago)
PAC ID
6800270497
Group Practice PAC ID
7214029743
Professional Enrollment ID
I20220831001141
Address ID
UT840436937LE2135XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for MRS. CORRINE WHITAKER (PMHNP-STUDENT)

  • 2135 W MAIN ST STE B207

    LEHI, UT 840436937

    Phone: (801) 224-3014

    Type: Mailing

  • 179 N 1200 E STE 104

    LEHI, UT 840432255

    Phone: (801) 377-0088

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($158).

Total Amount

$468

General + Research + Ownership

Payments

19

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2022-08-31

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
I20220831001141INurse PractitionerUTTBD

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 84043)

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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: 7214029743View full group profile
NameSpecialtyState
Nurse PractitionerUT
-UT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

How do I look up MRS. CORRINE WHITAKER (PMHNP-STUDENT) by NPI?
Use NPI 1093395469 when you need to reference MRS. CORRINE WHITAKER (PMHNP-STUDENT) in forms, claims, or directories.
Is MRS. CORRINE WHITAKER (PMHNP-STUDENT) active in the national directory?
MRS. CORRINE WHITAKER (PMHNP-STUDENT)'s public NPI profile is in an active state.
What field does MRS. CORRINE WHITAKER (PMHNP-STUDENT) work in?
You can think of MRS. CORRINE WHITAKER (PMHNP-STUDENT) as practicing within Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Does MRS. CORRINE WHITAKER (PMHNP-STUDENT) practice in Utah?
You will see Lehi, Utah on file for MRS. CORRINE WHITAKER (PMHNP-STUDENT) alongside any extra practice locations.
Is MRS. CORRINE WHITAKER (PMHNP-STUDENT) a real provider?
This page reflects official NPPES data for NPI 1093395469. Always confirm identity and privileges with the practice and licensing boards.

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