SEANEEN WHALEY F.N.P
NPI 1043688542
Nurse Practitioner - Family in Saint Helena, CA

Active since September 14, 2015PECOS EnrolledAccepts Medicare Assignment
80.67/100
CMS Quality Rating
10 WOODLAND RD, ICU ROOM 500, SAINT HELENA, CA 94574(707) 963-6445(707) 967-5656 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seaneen Whaley F.n.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEANEEN WHALEY F.N.P (NPI 1043688542) is an individual family provider in Saint Helena, California, licensed in California (NP95002718) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043688542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSEANEEN WHALEYCredential: F.N.P
Location Address10 WOODLAND RD, ICU ROOM 500Saint Helena, CA 94574-9554
Mailing AddressPo Box 7096Stockton, CA 95267-0096 · (209) 956-7725 · Fax (209) 956-7733
Fax(707) 967-5656
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2015
Last NPPES UpdateNovember 9, 2016
NPI 1043688542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · NP95002718 Licensed in CA · 95002718
Also ListedRegistered NurseTaxonomy 163W00000X · License 793631 (CA)
10 WOODLAND RD, Saint Helena, CA 94574

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Seaneen Whaley F.n.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608170857
PECOS Enrollment IDI20160208002026
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
249 services241 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
94 services91 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94574 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.97 typical visit price
range $65.08 – $192.16
Typical copayment $24.74 (range $16.27 – $48.04)
Most-billed visit code 99203
Established Patient
$113.15 typical visit price
range $21.86 – $157.83
Typical copayment $28.28 (range $5.46 – $39.45)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Critical Care Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Radiology (Diagnostic Radiology)
10 WOODLAND RD
SAINT HELENA, CA 94574
Perfusionist
10 WOODLAND RD
SAINT HELENA, CA 94574
Emergency Medicine
10 WOODLAND RD
SAINT HELENA, CA 94574
Internal Medicine (Critical Care Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Occupational Therapist
10 WOODLAND RD
SAINT HELENA, CA 94574
Preventive Medicine (Public Health & General Preventive Medicine)
10 WOODLAND RD
SAINT HELENA, CA 94574
Nurse Practitioner
10 WOODLAND RD
SAINT HELENA, CA 94574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seaneen Whaley's NPI number?

The NPI number for Seaneen Whaley is 1043688542. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Seaneen Whaley located?

Seaneen Whaley practices at 10 Woodland Rd Icu Room 500, Saint Helena, CA 94574. The listed phone number is (707) 963-6445.

What is Seaneen Whaley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Seaneen Whaley enrolled in Medicare?

Yes. Seaneen Whaley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Seaneen Whaley was last updated on November 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.