Whitney Boni Pruitt, AGNP in Shallotte, NC - Medicare Nurse Practitioner

Whitney Boni Pruitt, AGNP is a medicare enrolled "Nurse Practitioner" in Shallotte, North Carolina. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Novant Health Medical Group Coastal Region Llc, Goshen Medical Center, Incorporated and her current practice location is 512 Village Rd Ste 207, Shallotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 662-7500.

Whitney Boni Pruitt is licensed to practice in North Carolina (license number 5017081) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104543545.

Contact Information

	Whitney Boni Pruitt, AGNP
	512 Village Rd Ste 207, Shallotte, NC 28470-3409
	(910) 662-7500
	(910) 662-7501

Map and Direction

Provider's Profile

Full Name	Whitney Boni Pruitt
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	512 Village Rd Ste 207, Shallotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Whitney Boni Pruitt graduated from nursing school in 2022

NPI Data:

NPI Number: 1104543545
Provider Enumeration Date: 10/26/2022
Last Update Date: 04/15/2026

Medicare PECOS Information:

PECOS PAC ID: 8820467418
Enrollment ID: I20221202001170

Medical Identifiers

Medical identifiers for Whitney Boni Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104543545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	5017081 (North Carolina)	Secondary
363L00000X	Nurse Practitioner	5017081 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Columbus Regional Healthcare System	Whiteville, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Health Medical Group Coastal Region Llc	2860809936	569
Goshen Medical Center, Incorporated	3173434479	92

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. Whitney Boni Pruitt allows following entities to bill medicare on her behalf.

Entity Name	Goshen Medical Center, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962124974 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726

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. Whitney Boni Pruitt 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
Whitney Boni Pruitt, AGNP Po Box 936857, Atlanta, GA 31193-6857 Ph: () -	Whitney Boni Pruitt, AGNP 512 Village Rd Ste 207, Shallotte, NC 28470-3409 Ph: (910) 662-7500

Reviews and Comments

Nurse Practitioner Nurses in Shallotte, NC

Rachel Irving Almond, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5160 Ocean Hwy W, Shallotte, NC 28470 Phone: 910-332-3800 Fax: 910-579-4589
Elizabeth Barton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3640 Express Dr, Shallotte, NC 28470 Phone: 910-755-5222
Mrs. Kimberly Sue Ellen Bullard, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254
Mr. John Hudson Fillmore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 640 Whiteville Rd Nw, Shallotte, NC 28470 Phone: 910-754-4441
Jennifer Louise Percival, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441
Mary Elizabeth Bowers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5145 Sellers Rd, Shallotte, NC 28470 Phone: 910-754-4441 Fax: 910-754-5307
Hannah Nicholson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4503 Main St Ste 1, Shallotte, NC 28470 Phone: 910-754-2273 Fax: 910-754-2254

Whitney Boni Pruitt, AGNP - Medicare Nurse Practitioner in Shallotte, NC