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WHITNEY FALLON APRN, FNP-C
NPI 1306380019
Nurse Practitioner in Louisville, KY

Active since December 14, 2016PECOS EnrolledAccepts Medicare Assignment
13000 EQUITY PL STE 105, LOUISVILLE, KY 40223(502) 882-0176(502) 234-9225 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Dec 31, 2024, Aug 13, 2019 and 2 more (5 updates tracked since 2016).

About Whitney Fallon Aprn, Fnp-c NPPES

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

WHITNEY FALLON APRN, FNP-C (NPI 1306380019) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3010737) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hanover, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306380019
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWHITNEY FALLONCredential: APRN, FNP-C
Location Address13000 EQUITY PL STE 105Louisville, KY 40223-3976
Mailing Address4152 W State Road 56Hanover, IN 47243-9070 · (812) 762-4510
Phone(502) 882-0176
Fax(502) 234-9225
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 14, 2016
Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1306380019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in KY · 3010737✔ Licensed in IN · 71018155A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3010737 (KY)
13000 EQUITY PL STE 105, Louisville, KY 40223
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Secondary Practice Location 1

Location 14152 W State Road 56Hanover, IN 47243-9070 · Phone (812) 762-4510

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

Whitney Fallon Aprn, Fnp-c 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 ID1759668395
PECOS Enrollment IDI20260814004702
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

4

Medicare enrollment records show Whitney Fallon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Louisville Hospitalist Associates PLLC
7.0 mi
Hospitalist
3950 KRESGE WAY, STE 308
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 50 clinicians in this Medicare group
NPI 1962531731 (502) 895-9627
Louisville Pulmonary Care PLLC
7.1 mi
Pulmonary Disease
4003 KRESGE WAY STE 312
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 22 clinicians in this Medicare group
NPI 1164499927 (502) 899-7377
Fast Pace Medical Clinic PLLC
32 mi
Family Medicine
4152 W STATE ROAD
Hanover, IN 47243
  • Reassigned Medicare billing, Indiana enrollment
  • 220 clinicians in this Medicare group
NPI 1649770769 (931) 253-1110
Upperline Healthcare, PC
342 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Indiana enrollment
  • 171 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

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 40223 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.

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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
85%109 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%886 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%497 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
85%47 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%390 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
98%363 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%657 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
99%394 patients5/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 408 patients
Patients tobacco: 93% · 408 patients
21%38 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%390 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%390 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 363 patients
0%363 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%390 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Whitney Fallon's NPI number?

The NPI number for Whitney Fallon is 1306380019. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Where is Whitney Fallon located?

Whitney Fallon practices at 13000 Equity Pl Ste 105, Louisville, KY 40223. The listed phone number is (502) 882-0176.

What is Whitney Fallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Whitney Fallon enrolled in Medicare?

Yes. Whitney Fallon 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 Whitney Fallon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Fallon reassigns Medicare benefits to 4 organizations: Louisville Hospitalist Associates PLLC (Louisville, KY), Louisville Pulmonary Care PLLC (Louisville, KY), Fast Pace Medical Clinic PLLC (Hanover, IN) and Upperline Healthcare, PC (Hoover, AL). 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 Whitney Fallon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Whitney Fallon was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.