MEGAN WHALEY
NPI 1457719452
Nurse Practitioner in Wartburg, TN

Q: 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.

Q: What is Megan Whaley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Megan Whaley was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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: October 25, 2026.

On this page

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

Phone(423) 346-6221

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

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.

Medicare Billing Reassignment

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

Morgan County Health Council Inc

Same address

Federally Qualified Health Center (FQHC)

224 OLD MILL ROAD
Wartburg, TN 37887

Reassigned Medicare billing, Tennessee enrollment
9 clinicians in this Medicare group

NPI 1720099419 (423) 346-6221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CHRISTINA LONG N.P.

Nurse Practitioner