SHELLY MARIE WHALEY CRNP
NPI 1093351256
Nurse Practitioner in Alexander City, AL

Active since November 22, 2019PECOS EnrolledAccepts Medicare Assignment
92.74/100
CMS Quality Rating
3316 US - 280 E, ALEXANDER CITY, AL 35010(256) 329-7100 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2022, Nov 22, 2019 (2 updates tracked since 2019).

About Shelly Marie Whaley Crnp NPPES

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

SHELLY MARIE WHALEY CRNP (NPI 1093351256) is an individual nurse practitioner in Alexander City, Alabama, licensed in Alabama (1-093346) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093351256
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHELLY MARIE WHALEYCredential: CRNP
Location Address3316 US - 280 EAlexander City, AL 35010
Mailing Address9758 Coosa County Road 40Rockford, AL 35136-4106 · (256) 794-0222
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2019
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 25, 2021
NPI 1093351256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AL · 1-093346
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 1-093346 (AL)
3316 US - 280 E, Alexander City, AL 35010

Accepted 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

Shelly Marie Whaley Crnp 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 ID8820484058
PECOS Enrollment IDI20220414002305
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
21 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35010 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

92.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost75.83

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 Shelly Whaley's NPI number?

The NPI number for Shelly Whaley is 1093351256. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Shelly Whaley located?

Shelly Whaley practices at 3316 Us - 280 E, Alexander City, AL 35010. The listed phone number is (256) 329-7100.

What is Shelly Whaley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shelly Whaley enrolled in Medicare?

Yes. Shelly 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.

What insurance does Shelly Whaley accept?

Health plans from Blue Cross and Blue Shield of Alabama list Shelly Whaley 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 Shelly Whaley was last updated on January 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.