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JAMES WHISNER
NPI 1073062485
Social Worker - Clinical in Fredericktown, PA

Active since September 27, 2016PECOS EnrolledAccepts Medicare Assignment
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333(724) 632-6801(724) 632-6312 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2022, Sep 27, 2016 (2 updates tracked since 2016).

About James Whisner NPPES

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

JAMES WHISNER (NPI 1073062485) is an individual clinical provider in Fredericktown, Pennsylvania, licensed in Pennsylvania (CW022348) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073062485
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAMES WHISNER
Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 632-6801
Fax(724) 632-6312
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 27, 2016
Last NPPES UpdateJanuary 9, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2022
✔ NPI 1073062485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW022348
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1070 OLD NATIONAL PIKE, Fredericktown, PA 15333
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

James Whisner 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 ID1254722036
PECOS Enrollment IDI20220105002236
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15333 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
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALEXANDRIA MARIE BAKOS CRNP
Nurse Practitioner
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
DR. YONG DAE CHO M.D.
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. LUCARRIA POPIELARCHECK L.P.N A.C.M.
Specialist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
CENTERVILLE CLINICS, INC PEER SUPPORT
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MISS VICKI L MURRAY
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
SHELBY DUKE
Counselor
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. CECILIA L KNUTSEN
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MARYANN FEE LPC
Counselor (Mental Health)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801

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 James Whisner's NPI number?

The NPI number for James Whisner is 1073062485. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is James Whisner located?

James Whisner practices at 1070 Old National Pike, Fredericktown, PA 15333. The listed phone number is (724) 632-6801.

What is James Whisner's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is James Whisner enrolled in Medicare?

Yes. James Whisner 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.

What insurance does James Whisner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Whisner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Whisner was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.