THERESA WHALEN DNP
NPI 1861153017
Nurse Practitioner in Iowa City, IA

Q: What is Theresa Whalen's NPI number?

The NPI number for Theresa Whalen is 1861153017. It was assigned to this individual provider in the NPPES registry on January 9, 2022.

Q: What is Theresa Whalen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Whalen was last updated on March 24, 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.

Active since January 09, 2022PECOS EnrolledAccepts Medicare Assignment

200 HAWKINS DRIVE, IOWA CITY, IA 52242(319) 356-1616 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa Whalen Dnp NPPES

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

THERESA WHALEN DNP (NPI 1861153017) is an individual nurse practitioner in Iowa City, Iowa, licensed in Iowa (H166412) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with University Of Iowa Hospital & Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861153017

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA WHALENCredential: DNP

Location Address200 HAWKINS DRIVEIowa City, IA 52242

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 353-8435 · Fax (319) 356-7850

Phone(319) 356-1616

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 9, 2022

Last NPPES UpdateMarch 24, 2022

NPPES CertifiedMarch 24, 2022

✔ NPI 1861153017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · H166412

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 · Acute CareTaxonomy 363LA2100X · License H166412 (IA)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License H166412 (IA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License H166412 (IA)

200 HAWKINS DRIVE, Iowa City, IA 52242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Theresa Whalen Dnp 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 ID3678968187

PECOS Enrollment IDI20220321000756

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 3

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.

27 services24 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.

16 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number160058

Location200 Hawkins DriveIowa City, IA 52242 · Johnson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

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.

NAINA BAGRODIA M.D.

Surgery

200 HAWKINS DRIVE, DEPARTMENT OF GENERAL SURGERY
IOWA CITY, IA 52242

Johnson County (319) 356-2902

AMANI ABDALLA BASHIR MBBS

Pathology (Anatomic Pathology & Clinical Pathology)

200 HAWKINS DRIVE, UNIVERSITY OF IOWA HOSPITALS AND CLINICS
IOWA CITY, IA 52242

Johnson County (319) 467-5706

CAITLIN REID MS

Genetic Counselor, MS

200 HAWKINS DRIVE, 21602 PFP
IOWA CITY, IA 52242

Johnson County (319) 467-6740

STEPHEN EDWARD GUNN PA-C

Physician Assistant (Surgical)

200 HAWKINS DRIVE, SE 500 GH
IOWA CITY, IA 52242

Johnson County (319) 356-3440

FARHAN SHAHAB MD

Emergency Medicine

200 HAWKINS DRIVE, DEPT. OF EMERGENCY MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-2233

STATE UNIVERSITY OF IOWA

Dentist

200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
IOWA CITY, IA 52242

Johnson County (319) 356-2743

KAORU SASAKA MD

Radiology (Diagnostic Radiology)

200 HAWKINS DRIVE, UNIVERSITY OF IOWA HOSPITALS & CLINICS DEPT RADIOLOGY
IOWA CITY, IA 52242

Johnson County (319) 356-7222

JERRY RAY CHRISTENSEN LISW

Social Worker (Clinical)

200 HAWKINS DRIVE
IOWA CITY, IA 52242

Johnson County (319) 354-6479

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 Theresa Whalen's NPI number?

The NPI number for Theresa Whalen is 1861153017. It was assigned to this individual provider in the NPPES registry on January 9, 2022.

Where is Theresa Whalen located?

Theresa Whalen practices at 200 Hawkins Drive, Iowa City, IA 52242. The listed phone number is (319) 356-1616.

What is Theresa Whalen's specialty?

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

Is Theresa Whalen enrolled in Medicare?

Yes. Theresa 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 Theresa Whalen accept?

Health plans from Medica and Sanford Health Plan list Theresa 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 Theresa Whalen affiliated with any hospitals?

According to CMS data, Theresa Whalen is affiliated with University Of Iowa Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Theresa Whalen was last updated on March 24, 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.