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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Paula Whalen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Blanc, MI 48439
- Reassigned Medicare billing, Michigan enrollment
- 41 clinicians in this Medicare group
Grand Blanc, MI 48439
- Reassigned Medicare billing, Michigan enrollment
- 43 clinicians in this Medicare group
Pontiac, MI 48342
- Reassigned Medicare billing, Michigan enrollment
- 76 clinicians in this Medicare group
Livonia, MI 48150
- Reassigned Medicare billing, Michigan enrollment
- 177 clinicians in this Medicare group
Kalamazoo, MI 49048
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Sacramento, CA 95816
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Paula Whalen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paula Whalen reassigns Medicare benefits to 6 organizations: Emergency Medicine Physicians Of Genesee County, PLLC (Grand Blanc, MI), Observation Medicine Group PLLC (Grand Blanc, MI), Mclaren Oakland (Pontiac, MI), Inpatient Consultants Of Michigan PC (Livonia, MI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI) and 1 more organization, listed in the Medicare section above. 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 Paula Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paula Whalen accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 10 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.
# Paula M Whalen, NP · NPI 1174911846
Acute Care physician in Grand Blanc, Michigan. Individual provider, active in the CMS NPPES registry since January 5, 2015.
## Identity
- **NPI:** 1174911846 (Entity type: Individual)
- **Enumerated:** January 5, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704231240 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 9450 S SAGINAW RD, SUITE E, Grand Blanc, MI 48439-8206
- **Phone:** (810) 695-4000 · **Fax:** (810) 695-4055
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Physicians Of Genesee County, PLLC (NPI 1275899171, Grand Blanc, MI); Observation Medicine Group PLLC (NPI 1194084111, Grand Blanc, MI); Mclaren Oakland (NPI 1053463778, Pontiac, MI); Inpatient Consultants Of Michigan PC (NPI 1861442824, Livonia, MI); Sound Inpatient Physicians-Michigan, PLLC (NPI 1093967861, Kalamazoo, MI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 14, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1174911846) · Data from the CMS NPPES public registry.