MR. JAMES DANIEL WHALEY JR. FNP
NPI 1588308951
Nurse Practitioner - Family in Ironton, OH

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
912 PARK AVE, IRONTON, OH 45638(740) 532-1100 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2022, May 26, 2022, Apr 22, 2022 (3 updates tracked since 2022).

About Mr. James Daniel Whaley Jr. Fnp NPPES

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

MR. JAMES DANIEL WHALEY JR. FNP (NPI 1588308951) is an individual family provider in Ironton, Ohio, licensed in Ohio (APRN.CNP.0031207) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1588308951
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES DANIEL WHALEY JR.Credential: FNP
Location Address912 PARK AVEIronton, OH 45638-1596
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-9571
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2022
Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
NPI 1588308951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in OH · APRN.CNP.0031207 Licensed in KY · 3017707
912 PARK AVE, Ironton, OH 45638

Secondary Practice Locations 6

Location 112470 US Route 60Ashland, KY 41102-9687 · Phone (606) 408-6303
Location 2384 County Road 120 SSouth Point, OH 45680-7807 · Phone (740) 894-2080
Location 32245 Winchester AveAshland, KY 41101-7848 · Phone (606) 408-2600
Location 4609 N Carol Malone Blvd Ste 100Grayson, KY 41143-1123 · Phone (606) 475-0152
Location 5398 Diederich BlvdAshland, KY 41101-7008 · Phone (606) 324-8060
Location 61901 Argonne RdPortsmouth, OH 45662-2827 · Phone (740) 991-4000

Other Identifiers 2

Medicaid0489840OH
Medicaid7100819180KY

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

Mr. James Daniel Whaley Jr. Fnp 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 ID7517346406
PECOS Enrollment IDI20220623001813, I20220623001932
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.

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.
532 services53 patients
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.
180 services162 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.
74 services71 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.
46 services23 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
34 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
24 services21 patients

Hospital Affiliations CMS Care Compare 3

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45638 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Nurse Practitioner (Family)
912 PARK AVE
IRONTON, OH 45638
Family Medicine
912 PARK AVE
IRONTON, OH 45638
Family Medicine
912 PARK AVE
IRONTON, OH 45638
Family Medicine
912 PARK AVE
IRONTON, OH 45638
Family Medicine
912 PARK AVE
IRONTON, OH 45638

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 James Whaley's NPI number?

The NPI number for James Whaley is 1588308951. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is James Whaley located?

James Whaley practices at 912 Park Ave, Ironton, OH 45638. The listed phone number is (740) 532-1100.

What is James Whaley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Whaley enrolled in Medicare?

Yes. James 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 James Whaley accept?

Health plans from CareSource and Molina Healthcare list James 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 James Whaley affiliated with any hospitals?

According to CMS data, James Whaley is affiliated with King's Daughters' Medical Center, Southern Ohio Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for James Whaley was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.