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KELLY MARIE WHALEN PA
NPI 1811502578
Physician Assistant in Gastonia, NC

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
2610 ABERDEEN BLVD, GASTONIA, NC 28054(980) 442-4500 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 5, 2025, May 5, 2025, Jul 15, 2024 and 2 more (5 updates tracked since 2020).

About Kelly Marie Whalen Pa NPPES

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

KELLY MARIE WHALEN PA (NPI 1811502578) is an individual physician assistant in Gastonia, North Carolina, licensed in North Carolina (0010-14158) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1811502578
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MARIE WHALENCredential: PA
Location Address2610 ABERDEEN BLVDGastonia, NC 28054-0637
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 442-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 10, 2020
Last NPPES UpdateJune 5, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1811502578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-14158
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2610 ABERDEEN BLVD, Gastonia, NC 28054
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11450 Matthews Township Pkwy Ste 380Matthews, NC 28105-2389 · Phone (704) 384-9200 · Fax (704) 384-6588
Location 2100 Medical Park Dr, Ste 110Concord, NC 28025-2948 · Phone (704) 403-1370
Location 34525 Cameron Valley Pkwy, Ste 3500Charlotte, NC 28211-4369 · Phone (704) 302-8300
Location 41021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000
Location 5945 N 5th StAlbemarle, NC 28001-3417 · Phone (980) 323-7790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Marie Whalen Pa 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 ID8224440631
PECOS Enrollment IDI20240606000310
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 5

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 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.
110 services95 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
98 services86 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
95 services78 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
22 services14 patients
Lactate dehydrogenase (enzyme) level 83615
A Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
21 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 9

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

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Internal Medicine (Hematology)
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (980) 442-4500
ALI-REZA GOLSHAYAN MD
Internal Medicine (Hematology)
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (980) 442-4500
GASTON HEMATOLOGY & ONCOLOGY ASSOCIATES, PC
Specialist
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (704) 865-5210
MR. GEOFFREY LANCE HARDIN PA-C
Physician Assistant
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (704) 865-5210
AMY FREDRICK CODY FNP
Nurse Practitioner (Family)
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (980) 442-4500
MELANIE LYNN KAY
Pharmacist (Oncology)
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (980) 442-4527
ADARSH MALLINATH HIREMATH MD
Internal Medicine
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (980) 442-4500
DR. LAKISHA LEE MCDONALD DNP
Internal Medicine (Hematology & Oncology)
2610 ABERDEEN BLVD
GASTONIA, NC 28054
Gaston County (980) 442-4500

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 Whalen's NPI number?

The NPI number for Kelly Whalen is 1811502578. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Kelly Whalen located?

Kelly Whalen practices at 2610 Aberdeen Blvd, Gastonia, NC 28054. The listed phone number is (980) 442-4500.

What is Kelly Whalen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Whalen enrolled in Medicare?

Yes. Kelly 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 Kelly Whalen accept?

Health plans from Blue Cross and Blue Shield of NC list Kelly 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 Kelly Whalen affiliated with any hospitals?

According to CMS data, Kelly Whalen is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center, Novant Health Mint Hill Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Whalen was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.