DR. JUSTINE MARIE WHEALON DO
NPI 1104768886
Obstetrics & Gynecology in Grand Rapids, MI

Q: What is Justine Whealon's NPI number?

The NPI number for Justine Whealon is 1104768886. It was assigned to this individual provider in the NPPES registry on April 9, 2026. The provider is also known as Justine Marie Johnson.

Q: What is Justine Whealon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Justine Whealon was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 09, 2026PECOS Enrolled

330 BARCLAY AVE NE STE 304, GRAND RAPIDS, MI 49503(616) 391-2160 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Justine Marie Whealon Do NPPES

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

DR. JUSTINE MARIE WHEALON DO (NPI 1104768886) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (5151018023) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104768886

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. JUSTINE MARIE WHEALONCredential: DO

Location Address330 BARCLAY AVE NE STE 304Grand Rapids, MI 49503-2527

Mailing Address330 Barclay Ave Ne Ste 304Grand Rapids, MI 49503-2527 · (616) 391-2160

Phone(616) 391-2160

Sole ProprietorNo

Enumeration DateApril 9, 2026

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1104768886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 5151018023

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

330 BARCLAY AVE NE STE 304, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Justine Marie Johnson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justine Marie Whealon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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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.

KAELA BROWN MD

Obstetrics & Gynecology