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KELLY DON WHALEY
NPI 1548749245
Nurse Practitioner in Paris, TX

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
55.66/100
CMS Quality Rating
5220 SE LOOP 286, PARIS, TX 75460(903) 401-8349(903) 680-8050 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Dec 6, 2019, Jun 20, 2019 and 2 more (5 updates tracked since 2018).

About Kelly Don Whaley NPPES

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

KELLY DON WHALEY (NPI 1548749245) is an individual nurse practitioner in Paris, Texas, licensed in Texas (AP138972) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Methodist Midlothian Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1548749245
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKELLY DON WHALEY
Location Address5220 SE LOOP 286Paris, TX 75460
Mailing Address3515 Richmond RdTexarkana, TX 75503-0711 · (903) 791-9355 · Fax (903) 831-7258
Phone(903) 401-8349
Fax(903) 680-8050
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2018
Last NPPES UpdateJanuary 21, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1548749245 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
License✔ Licensed in TX · AP138972
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 AP138972 (TX)
5220 SE LOOP 286, Paris, TX 75460
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12201 N Central Expy Ste 125Richardson, TX 75080-2718 · Phone (214) 377-1790 · Fax (720) 598-0440
Location 25220 SE Loop 286Paris, TX 75460 · Phone (903) 401-8349 · Fax (903) 680-8050
Location 31017 W Hebron PkwyCarrollton, TX 75010-1113 · Phone (972) 939-9345

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Sendero Health Plans, Local Nonprofit.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

Kelly Don 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 ID2365784832
PECOS Enrollment IDI20190502001256
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.

Areas of Expertise CMS Part B claims 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
142 services125 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
120 services12 patients
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.
69 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
50 services48 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
48 services22 patients

Hospital Affiliations CMS Care Compare

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

Methodist Midlothian Medical Center

Acute Care Hospitals · Midlothian, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670300
Location1201 E Highway 287Midlothian, TX 76065 · Ellis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75460 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

55.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.68
Improvement Activities40
Cost20.46

Other Providers at the Same Location NPPES 2

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

HEALTHCARE EXPRESS, LLP
Clinic/Center (Urgent Care)
5220 SE LOOP 286
PARIS, TX 75460
Lamar County (903) 791-9355
LAUREN ASHLEY CHAPPELL PA-C
Physician Assistant
5220 SE LOOP 286
PARIS, TX 75460
Lamar County (903) 609-3153

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 Kelly Whaley's NPI number?

The NPI number for Kelly Whaley is 1548749245. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Kelly Whaley located?

Kelly Whaley practices at 5220 SE Loop 286, Paris, TX 75460. The listed phone number is (903) 401-8349.

What is Kelly Whaley's specialty?

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

Is Kelly Whaley enrolled in Medicare?

Yes. Kelly 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 Kelly Whaley accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Sendero Health Plans, Local Nonprofit list Kelly 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 Kelly Whaley affiliated with any hospitals?

According to CMS data, Kelly Whaley is affiliated with Methodist Midlothian Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Whaley was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.