SEAN WHELEN
NPI 1528702776
Nurse Practitioner - Adult Health in Penfield, NY
About Sean Whelen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN WHELEN (NPI 1528702776) is an individual adult health provider in Penfield, New York, licensed in New York (310711) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Sean Whelen 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.
Medicare Billing Reassignment
Medicare enrollment records show Sean Whelen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 279 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Highland Hospital
Acute Care Hospitals · Rochester, NYStrong Memorial Hospital
Acute Care Hospitals · Rochester, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sean Whelen's NPI number?
The NPI number for Sean Whelen is 1528702776. It was assigned to this individual provider in the NPPES registry on April 25, 2022.
Where is Sean Whelen located?
Sean Whelen practices at 2212 Penfield Rd Ste 200, Penfield, NY 14526. The listed phone number is (585) 598-8565.
What is Sean Whelen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Sean Whelen enrolled in Medicare?
Yes. Sean Whelen 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 organization bills Medicare for Sean Whelen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Whelen reassigns Medicare benefits to University Of Rochester (Rochester, NY). The 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 Sean Whelen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sean Whelen affiliated with any hospitals?
According to CMS data, Sean Whelen is affiliated with Highland Hospital and Strong Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sean Whelen was last updated on July 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sean Whelen · NPI 1528702776
Adult Health physician in Penfield, New York. Individual provider, active in the CMS NPPES registry since April 25, 2022.
## Identity
- **NPI:** 1528702776 (Entity type: Individual)
- **Enumerated:** April 25, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 310711 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2212 PENFIELD RD STE 200, Penfield, NY 14526-1756
- **Phone:** (585) 598-8565
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Rochester (NPI 1710226824, Rochester, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1528702776) · Data from the CMS NPPES public registry.