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JUSTIN BAILEY WHITLEY ARPN, NP-C
NPI 1215506035
Nurse Practitioner - Gerontology in Austin, TX

Active since June 24, 2021PECOS Enrolled
72.52/100
CMS Quality Rating
1500 RED RIVER ST, AUSTIN, TX 78701(512) 324-8399 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Bailey Whitley Arpn, Np-c NPPES

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

JUSTIN BAILEY WHITLEY ARPN, NP-C (NPI 1215506035) is an individual gerontology provider in Austin, Texas, licensed in Texas (1045496) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215506035
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameJUSTIN BAILEY WHITLEYCredential: ARPN, NP-C
Location Address1500 RED RIVER STAustin, TX 78701-1918
Mailing Address1500 Red River StAustin, TX 78701-1918
Phone(512) 324-8399
Sole ProprietorNo
Enumeration DateJune 24, 2021
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1215506035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1045496
1500 RED RIVER ST, Austin, TX 78701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Bailey Whitley Arpn, Np-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 Reassignment

Medicare enrollment records show Justin Whitley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Texas Palliative Care Associates
6.6 mi
Hospice and Palliative Medicine
4107 SPICEWOOD SPRINGS RD STE 100
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1487686226 (512) 397-3360

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 78701 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

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.

KIRA ALLISON DO
Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 495-5555
DR. JOSEPH DONALD WEBB II PHARMD
Pharmacist
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 324-7000
KATHERINE ANNE WILCOXSON FNP-C
Nurse Practitioner (Family)
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 324-7000
SAINI KETHIREDDY MD
Psychiatry & Neurology (Neurology)
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 495-5555
CHRISTINA SHIELDS MD
Surgery
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 495-5555
DANE CHRISTOPHER SALE MD
Emergency Medicine
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 324-8221
JEFFREY CLAY CARROLL JR.
Psychiatry & Neurology (Psychiatry)
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 324-7000
SYDNEY DEPIES PA-C
Physician Assistant
1500 RED RIVER ST
AUSTIN, TX 78701
Travis County (512) 324-7000

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 Justin Whitley's NPI number?

The NPI number for Justin Whitley is 1215506035. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Justin Whitley located?

Justin Whitley practices at 1500 Red River St, Austin, TX 78701. The listed phone number is (512) 324-8399.

What is Justin Whitley's specialty?

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

Is Justin Whitley enrolled in Medicare?

Yes. Justin Whitley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Whitley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Whitley reassigns Medicare benefits to Central Texas Palliative Care Associates (Austin, TX). The 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 Justin Whitley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Whitley accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Harbor Health and Oscar Insurance Company and 1 other insurer list Justin Whitley 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 Justin Whitley was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.