KAY C WHITTAKER (APRN) – Family Nurse Practitioner, NPI 1497793707

KAY C WHITTAKER (APRN) is a healthcare provider. based in Provo, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 192744-4405 (UT). The NPI Number for KAY C WHITTAKER (APRN) is 1497793707

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
KAY C WHITTAKER (APRN)
NPI
1497793707
Phone
(801) 344-4400
Address
PO BOX 270
Enumeration Date
2 June 2006
Last Update Date
22 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013444215
Graduation Year
1995 (31 years ago)
PAC ID
1153311550
Group Practice PAC ID
6800797333
Professional Enrollment ID
I20040517001103
Address ID
UT846063554PR1300XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

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Provider Addresses for KAY C WHITTAKER (APRN)

  • PO BOX 270

    PROVO, UT 846030270

    Phone: (801) 344-4400

    Type: Mailing

  • East Center Street, Riverbottoms, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846063554

    Phone: (801) 344-4400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: ABBVIE INC. ($72).

Total Amount

$136

General + Research + Ownership

Payments

7

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-05-17

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
I20040517001103INurse 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 84603)

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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: 6800797333View full group profile

Reviews

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Frequently asked questions

How is KAY C WHITTAKER (APRN) identified in CMS data?
CMS-hosted NPPES data lists KAY C WHITTAKER (APRN) with NPI 1497793707.
Does CMS list KAY C WHITTAKER (APRN) as active?
Yes — KAY C WHITTAKER (APRN) is active in the NPI listing used on this page.
What is KAY C WHITTAKER (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for KAY C WHITTAKER (APRN) here. Clinical services aligned with this taxonomy classification.
What address line appears for KAY C WHITTAKER (APRN)?
KAY C WHITTAKER (APRN)'s geographic hint is Provo, Utah in our summary view.
Why does KAY C WHITTAKER (APRN) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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