SARAH MICHELLE WHALEN APRN
NPI 1467072033
Nurse Practitioner - Psychiatric/Mental Health in Waterbury, CT

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
100 JEFFERSON SQ, WATERBURY, CT 06706(860) 793-3548 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sarah Michelle Whalen Aprn NPPES

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

SARAH MICHELLE WHALEN APRN (NPI 1467072033) is an individual psychiatric/mental health provider in Waterbury, Connecticut, licensed in Connecticut (8832) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467072033
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSARAH MICHELLE WHALENCredential: APRN
Location Address100 JEFFERSON SQWaterbury, CT 06706-1109
Mailing Address100 Jefferson SqWaterbury, CT 06706-1109 · (860) 793-3548
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1467072033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 8832
100 JEFFERSON SQ, Waterbury, CT 06706

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

Sarah Michelle Whalen Aprn 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 ID8729409974
PECOS Enrollment IDI20230331000533
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

2

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

Mental Health (Including Community Mental Health Center)
91 NORTHWEST DRIVE
Plainville, CT 06062
  • Reassigned Medicare billing, Connecticut enrollment
  • 217 clinicians in this Medicare group
Thoracic Surgery (Cardiothoracic Vascular Surgery)
595 W STATE ST STE 207
Doylestown, PA 18901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services22 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06706 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
100 JEFFERSON SQ
WATERBURY, CT 06706
Social Worker
100 JEFFERSON SQ
WATERBURY, CT 06706
Social Worker (Clinical)
100 JEFFERSON SQ
WATERBURY, CT 06706
Psychiatry & Neurology (Psychiatry)
100 JEFFERSON SQ
WATERBURY, CT 06706
Social Worker (Clinical)
100 JEFFERSON SQ
WATERBURY, CT 06706
Social Worker (Clinical)
100 JEFFERSON SQ
WATERBURY, CT 06706

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 Sarah Whalen's NPI number?

The NPI number for Sarah Whalen is 1467072033. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Sarah Whalen located?

Sarah Whalen practices at 100 Jefferson Sq, Waterbury, CT 06706. The listed phone number is (860) 793-3548.

What is Sarah Whalen's specialty?

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

Is Sarah Whalen enrolled in Medicare?

Yes. Sarah Whalen 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 Sarah Whalen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Whalen reassigns Medicare benefits to 2 organizations: Wheeler Clinic Inc (Plainville, CT) and University Of Penn - Medical Group (Doylestown, PA). 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 Sarah Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sarah Whalen affiliated with any hospitals?

According to CMS data, Sarah Whalen is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Sarah Whalen was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.