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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY WHITTENHALL NP
NPI 1205231081
Nurse Practitioner - Gerontology in East Providence, RI

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment
73 HIGHLAND AVE UNIT C, EAST PROVIDENCE, RI 02914(774) 929-9100(508) 998-1665 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Jun 17, 2024, Sep 14, 2016 (3 updates tracked since 2016).

About Mary Whittenhall Np NPPES

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

MARY WHITTENHALL NP (NPI 1205231081) is an individual gerontology provider in East Providence, Rhode Island, licensed in Rhode Island (APRN01320) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205231081
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY WHITTENHALLCredential: NP
Location Address73 HIGHLAND AVE UNIT CEast Providence, RI 02914-1244
Mailing Address370 Faunce Corner Rd Fl 2North Dartmouth, MA 02747-1271 · (774) 929-9100 · Fax (508) 998-1665
Phone(774) 929-9100
Fax(508) 998-1665
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 23, 2014
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1205231081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in RI · APRN01320✔ Licensed in MA · RN2264510
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN2264510 (MA), APRN01320 (RI)
73 HIGHLAND AVE UNIT C, East Providence, RI 02914
Open in Google Maps ↗

Secondary Practice Locations 2

Location 120 ONeil BlvdAttleboro, MA 02703-1854 · Phone (508) 699-6165 · Fax (508) 342-1944
Location 2370 Faunce Corner RdNorth Dartmouth, MA 02747-1271 · Phone (774) 929-9100 · Fax (508) 998-1665

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mary Whittenhall 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.

PECOS PAC ID4880917152
PECOS Enrollment IDI20141218001083, I20250423001994
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers81 claims218 services$15.30 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
4 suppliers152 claims2,112 services$31.56 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers19 claims19 services$37.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers15 claims15 services$78.00 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims29 services$29.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$47.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOBY FINGEROTH WEISER PA-C
Physician Assistant
73 HIGHLAND AVE UNIT C
EAST PROVIDENCE, RI 02914
Providence County (774) 929-9100
KAYLEE J MATTIELLO PA-C
Physician Assistant
73 HIGHLAND AVE UNIT C
EAST PROVIDENCE, RI 02914
Providence County (401) 414-4545

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 Mary Whittenhall's NPI number?

The NPI number for Mary Whittenhall is 1205231081. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Mary Whittenhall located?

Mary Whittenhall practices at 73 Highland Ave Unit C, East Providence, RI 02914. The listed phone number is (774) 929-9100.

What is Mary Whittenhall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Whittenhall enrolled in Medicare?

Yes. Mary Whittenhall 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 Mary Whittenhall accept?

Health plans from Anthem Blue Cross and Blue Shield list Mary Whittenhall 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 Mary Whittenhall affiliated with any hospitals?

According to CMS data, Mary Whittenhall is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Mary Whittenhall was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.