Alissa Whittaker, FNP in Plymouth, IN - Medicare Nurse Practitioner

Alissa Whittaker, FNP is a medicare enrolled "Nurse Practitioner - Family" in Plymouth, Indiana. Her current practice location is 113 N Michigan St, Plymouth, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 936-2643.

Alissa Whittaker is licensed to practice in Indiana (license number 71004885A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033540638.

Contact Information

	Alissa Whittaker, FNP
	113 N Michigan St, Plymouth, IN 46563-2132
	(574) 936-2643
	(574) 540-4001

Map and Direction

Provider's Profile

Full Name	Alissa Whittaker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	113 N Michigan St, Plymouth, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033540638
Provider Enumeration Date: 12/06/2013
Last Update Date: 11/05/2025

Medicare PECOS Information:

PECOS PAC ID: 0749403988
Enrollment ID: I20140515002079

Medical Identifiers

Medical identifiers for Alissa Whittaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033540638	NPI	-	NPPES
IN5586003	Other	IN	FNP
201222850	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71004885A (Indiana)	Primary
363LF0000X	Nurse Practitioner - Family	28186867A (Indiana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alissa Whittaker allows following entities to bill medicare on her behalf.

Entity Name	Bowen Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alissa Whittaker is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alissa Whittaker, FNP 113 N Michigan St, Plymouth, IN 46563-2132 Ph: (574) 936-2643	Alissa Whittaker, FNP 113 N Michigan St, Plymouth, IN 46563-2132 Ph: (574) 936-2643

Reviews and Comments

Nurse Practitioner Nurses in Plymouth, IN

Jessica Cooper, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-523-3160
Kimberley Kay Mendez, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 W Adams St Ste 150, Plymouth, IN 46563 Phone: 574-335-7900 Fax: 574-335-0850
Eric Eugene Spohn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 990 Illinois St, Plymouth, IN 46563 Phone: 574-936-9646
Marla M Troyer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745
Mrs. Julie Marie Brandy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2855 Miller Dr, Suite 119, Plymouth, IN 46563 Phone: 574-941-1000 Fax: 574-941-1075
Lauren Grace Arias, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Water St, Plymouth, IN 46563 Phone: 574-540-2052 Fax: 574-540-2540

Alissa Whittaker, FNP - Medicare Nurse Practitioner in Plymouth, IN