PAULA M WHALEN NP
NPI 1174911846
Nurse Practitioner - Acute Care in Grand Blanc, MI
About Paula M Whalen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULA M WHALEN NP (NPI 1174911846) is an individual acute care provider in Grand Blanc, Michigan, licensed in Michigan (4704231240) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Paula M Whalen Np 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Flint
Acute Care Hospitals · Flint, MIAscension Genesys Hospital
Acute Care Hospitals · Grand Blanc, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
GRAND BLANC, MI 48439
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 Paula Whalen's NPI number?
The NPI number for Paula Whalen is 1174911846. It was assigned to this individual provider in the NPPES registry on January 5, 2015.
Where is Paula Whalen located?
Paula Whalen practices at 9450 S Saginaw Rd Suite E, Grand Blanc, MI 48439. The listed phone number is (810) 695-4000.
What is Paula Whalen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Paula Whalen enrolled in Medicare?
Yes. Paula Whalen 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 Paula Whalen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Paula Whalen 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.
Is Paula Whalen affiliated with any hospitals?
According to CMS data, Paula Whalen is affiliated with Mclaren Flint and Ascension Genesys Hospital.
When was this NPI record last updated?
The NPPES record for Paula Whalen was last updated on October 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
