MEGAN WHALEY
NPI 1457719452
Nurse Practitioner in Wartburg, TN

Active since February 04, 2016PECOS EnrolledAccepts Medicare Assignment
224 OLD MILL RD, WARTBURG, TN 37887(423) 346-6221(423) 346-5565 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Megan Whaley NPPES

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

MEGAN WHALEY (NPI 1457719452) is an individual nurse practitioner in Wartburg, Tennessee, licensed in Tennessee (20511) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Oak Ridge, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1457719452
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMEGAN WHALEY
Location Address224 OLD MILL RDWartburg, TN 37887-4163
Mailing AddressPo Box 408Wartburg, TN 37887-0408 · (423) 346-6221 · Fax (423) 364-5565
Fax(423) 346-5565
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 4, 2016
NPI 1457719452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TN · 20511
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.
224 OLD MILL RD, Wartburg, TN 37887

Accepted 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

Megan Whaley 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 ID1153611710
PECOS Enrollment IDI20160609002233
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.

Hospital Affiliations CMS Care Compare

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

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37887 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 19

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

Nurse Practitioner
224 OLD MILL RD
WARTBURG, TN 37887
Nurse Practitioner (Family)
224 OLD MILL RD
WARTBURG, TN 37887
Nurse Practitioner (Family)
224 OLD MILL RD
WARTBURG, TN 37887
Nurse Practitioner (Family)
224 OLD MILL RD
WARTBURG, TN 37887
Counselor (Mental Health)
224 OLD MILL RD
WARTBURG, TN 37887
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
224 OLD MILL RD
WARTBURG, TN 37887
Counselor
224 OLD MILL RD
WARTBURG, TN 37887
Dentist
224 OLD MILL RD
WARTBURG, TN 37887

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 Megan Whaley's NPI number?

The NPI number for Megan Whaley is 1457719452. It was assigned to this individual provider in the NPPES registry on February 4, 2016.

Where is Megan Whaley located?

Megan Whaley practices at 224 Old Mill Rd, Wartburg, TN 37887. The listed phone number is (423) 346-6221.

What is Megan Whaley's specialty?

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

Is Megan Whaley enrolled in Medicare?

Yes. Megan Whaley 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 Megan Whaley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Megan Whaley 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 Megan Whaley affiliated with any hospitals?

According to CMS data, Megan Whaley is affiliated with Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Megan Whaley was last updated on February 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.