STEPHANIE WHALEN NP
NPI 1619265279
Nurse Practitioner in Winston Salem, NC

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
82.96/100
CMS Quality Rating
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 713-5215(336) 716-0030 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2021, Mar 4, 2020 (2 updates tracked since 2020).

About Stephanie Whalen Np NPPES

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

STEPHANIE WHALEN NP (NPI 1619265279) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5014743) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Camden.

NPPES Registry Identity

NPI1619265279
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSTEPHANIE WHALENCredential: NP
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-1461
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-5215 · Fax (336) 716-0030
Fax(336) 716-0030
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 18, 2011
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
NPI 1619265279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NC · 5014743
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 ListedLicensed Practical NurseTaxonomy 164W00000X · License NJ00327500 (NJ), NR13231200 (NJ)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00327500 (NJ)
MEDICAL CENTER BLVD, Winston Salem, NC 27157

Secondary Practice Location 1

Location 11 Cooper Plz, Clinical Decision UnitCamden, NJ 08103-1461 · Phone (856) 342-2000

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

Stephanie Whalen Np 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 ID8123260205
PECOS Enrollment IDI20130820000808
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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.

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.

82.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Promoting Interoperability99
Improvement Activities40
Cost55.22

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 Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Internal Medicine (Rheumatology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Nurse Practitioner (Neonatal)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Surgery (Vascular Surgery)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157

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 Stephanie Whalen's NPI number?

The NPI number for Stephanie Whalen is 1619265279. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Stephanie Whalen located?

Stephanie Whalen practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 713-5215.

What is Stephanie Whalen's specialty?

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

Is Stephanie Whalen enrolled in Medicare?

Yes. Stephanie 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.

What insurance does Stephanie Whalen accept?

Health plans from AmeriHealth Caritas Next list Stephanie Whalen 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 Stephanie Whalen affiliated with any hospitals?

According to CMS data, Stephanie Whalen is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Whalen was last updated on August 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.