MRS. MARLENE BLIZZARD WHALEY RN, MSN, FNP-C
NPI 1609205442
Nurse Practitioner - Family in Mount Olive, NC

Active since November 02, 2013PECOS EnrolledAccepts Medicare Assignment
130 N CENTER ST, MOUNT OLIVE, NC 28365(919) 658-2505 Get Directions Write a Review

NPPES record last updated: November 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Marlene Blizzard Whaley Rn, Msn, Fnp-c NPPES

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

MRS. MARLENE BLIZZARD WHALEY RN, MSN, FNP-C (NPI 1609205442) is an individual family provider in Mount Olive, North Carolina, licensed in North Carolina (5006594) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Vidant Duplin Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609205442
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARLENE BLIZZARD WHALEYCredential: RN, MSN, FNP-C
Location Address130 N CENTER STMount Olive, NC 28365-1701
Mailing Address130 N Center StMount Olive, NC 28365-1701 · (919) 658-2505
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 2, 2013
✔ NPI 1609205442 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
License✔ Licensed in NC · 5006594
130 N CENTER ST, Mount Olive, NC 28365

Other Names 1

Former Name (1)Miss Marlene Manuela Blizzard

Accepted 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

Mrs. Marlene Blizzard Whaley Rn, Msn, Fnp-c 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 ID1254569643
PECOS Enrollment IDI20240409002215
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

7

Medicare enrollment records show Marlene Whaley reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
130 NE CENTER ST
Mount Olive, NC 28365
  • Reassigned Medicare billing, North Carolina enrollment
  • 173 clinicians in this Medicare group
Nurse Practitioner
101 CABARRUS AVE E STE 100
Concord, NC 28025
  • Reassigned Medicare billing, Indiana enrollment
  • 139 clinicians in this Medicare group
Geriatric Medicine
101 CABARRUS AVE E STE 200
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 169 clinicians in this Medicare group
Nurse Practitioner
828 LANE ALLEN RD STE 219
Lexington, KY 40504
  • Reassigned Medicare billing, Indiana enrollment
  • 135 clinicians in this Medicare group
Nurse Practitioner
3958 BROWN PARK DR STE D
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 82 clinicians in this Medicare group
Nurse Practitioner
150 W MARKET ST STE 400
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 210 clinicians in this Medicare group
Adult Medicine
8398 MISSISSIPPI ST FL 2
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 233 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 2

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
17 services14 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Vidant Duplin Hospital

Acute Care Hospitals · Kenansville, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340120
Location401 N Main StKenansville, NC 28349 · Duplin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28365 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers27 claims57 services$5.63 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers18 claims18 services$90.39 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers14 claims32 services$37.30 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers14 claims14 services$21.00 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
7 suppliers15 claims15 services$19.60 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
8 suppliers19 claims84 services$2.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Pharmacy (Clinic Pharmacy)
130 N CENTER ST
MOUNT OLIVE, NC 28365

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 Marlene Whaley's NPI number?

The NPI number for Marlene Whaley is 1609205442. It was assigned to this individual provider in the NPPES registry on November 2, 2013. The provider is also known as Miss Marlene Manuela Blizzard.

Where is Marlene Whaley located?

Marlene Whaley practices at 130 N Center St, Mount Olive, NC 28365. The listed phone number is (919) 658-2505.

What is Marlene Whaley's specialty?

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

Is Marlene Whaley enrolled in Medicare?

Yes. Marlene 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.

Which organizations bill Medicare for Marlene Whaley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Whaley reassigns Medicare benefits to 7 organizations: Goshen Medical Center Incorporated (Mount Olive, NC), Eventus Wh Midwest Care, LLC (Concord, NC), Eventus Wholehealth Aco LLC (Concord, NC), Eventus Ecs - Kentucky, PLLC (Lexington, KY), Eventus Ecs - Ohio LLC (Hilliard, OH) and 2 more organizations, listed in the Medicare section above. 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 Marlene Whaley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlene Whaley accept?

Health plans from CareSource, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Marlene 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 Marlene Whaley affiliated with any hospitals?

According to CMS data, Marlene Whaley is affiliated with Vidant Duplin Hospital.

When was this NPI record last updated?

The NPPES record for Marlene Whaley was last updated on November 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.