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MS. NANCY C WHELAN RN,APN-C
NPI 1114124203
Nurse Practitioner - Pediatrics in Newark, NJ

Active since July 02, 2007PECOS Enrolled
200 LYONS AVE, BUILDING L-5 PEDIATRIC GASTROENTEROLOGY, NEWARK, NJ 07112(973) 926-7280(973) 705-3148 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Nancy C Whelan Rn,apn-c NPPES

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

MS. NANCY C WHELAN RN,APN-C (NPI 1114124203) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (26NN10834400) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114124203
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. NANCY C WHELANCredential: RN,APN-C
Location Address200 LYONS AVE, BUILDING L-5 PEDIATRIC GASTROENTEROLOGYNewark, NJ 07112-2026
Mailing Address1123 Coolidge RdElizabeth, NJ 07208-1005 · (908) 355-0355
Phone(973) 926-7280
Fax(973) 705-3148
Sole ProprietorNo
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 23, 2021
NPPES CertifiedJuly 23, 2021
✔ NPI 1114124203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NN10834400
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NO10834400 (NJ)
200 LYONS AVE, Newark, NJ 07112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nancy C Whelan Rn,apn-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nancy Whelan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
3.5 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Rutgers Health-Rwj Scleroderma Program
18 mi
Psychiatry
675 HOES LN W
Piscataway, NJ 08854
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
NPI 1316222664 (732) 235-4402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07112 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Nancy Whelan's NPI number?

The NPI number for Nancy Whelan is 1114124203. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Nancy Whelan located?

Nancy Whelan practices at 200 Lyons Ave Building L-5 Pediatric Gastroenterology, Newark, NJ 07112. The listed phone number is (973) 926-7280.

What is Nancy Whelan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Nancy Whelan enrolled in Medicare?

Yes. Nancy Whelan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nancy Whelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Whelan reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Rutgers Health-Rwj Scleroderma Program (Piscataway, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Whelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nancy Whelan accept?

Health plans from Oscar Health list Nancy Whelan 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 Nancy Whelan was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.