CARA WHALEN PMHNP-BC
NPI 1215647672
Nurse Practitioner - Psychiatric/Mental Health in Somerset, KY

Q: What is Cara Whalen's NPI number?

The NPI number for Cara Whalen is 1215647672. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Q: What is Cara Whalen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Cara Whalen was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since November 28, 2022PECOS EnrolledAccepts Medicare Assignment

200 BELMONT AVE, SOMERSET, KY 42501(606) 687-2038(606) 200-3654 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, May 19, 2025, Sep 5, 2023 and 3 more (6 updates tracked since 2022).

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About Cara Whalen Pmhnp-bc NPPES

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

CARA WHALEN PMHNP-BC (NPI 1215647672) is an individual psychiatric/mental health provider in Somerset, Kentucky, licensed in Kentucky (3018669) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215647672

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCARA WHALENCredential: PMHNP-BC

Location Address200 BELMONT AVESomerset, KY 42501-2419

Mailing AddressPo Box 3044West Somerset, KY 42564-3044 · (606) 687-2038 · Fax (606) 200-3654

Phone(606) 687-2038

Fax(606) 200-3654

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 28, 2022

Last NPPES UpdateSeptember 4, 20256 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1215647672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in KY · 3018669✔ Licensed in OH · APRN.CNP.0032764

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.328463 (OH)

200 BELMONT AVE, Somerset, KY 42501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 and accepts Medicare assignment

Cara Whalen Pmhnp-bc 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 ID1254793326

PECOS Enrollment IDI20230918002654

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

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

Wellsprings Wellness LLC

Same address

Psychiatric/Mental Health

200 BELMONT AVE
Somerset, KY 42501

Reassigned Medicare billing, Kentucky enrollment
23 clinicians in this Medicare group

NPI 1144886763 (606) 687-2038

Wellspring Counseling Ky

Reassigned Medicare billing, Kentucky enrollment
22 clinicians in this Medicare group

No phone listed

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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

213 services90 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

112 services53 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42501 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

JANIE SHANAE DAY CSW

Social Worker (Clinical)