AMY LOUISE WHILLOCK MD, PHD
NPI 1881337640
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Amy Whillock's NPI number?

The NPI number for Amy Whillock is 1881337640. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Q: What is Amy Whillock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Whillock was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2022PECOS Enrolled

2450 RIVERSIDE AVE, M136, 1ST FLOOR, EAST BUILDING, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amy Louise Whillock Md, Phd NPPES

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

AMY LOUISE WHILLOCK MD, PHD (NPI 1881337640) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881337640

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMY LOUISE WHILLOCKCredential: MD, PHD

Location Address2450 RIVERSIDE AVE, M136, 1ST FLOOR, EAST BUILDINGMinneapolis, MN 55454

Mailing Address2450 Riverside Ave, M136, 1st Floor, East BuildingMinneapolis, MN 55454 · (612) 624-4477

Phone(612) 624-4477

Sole ProprietorYes

Enumeration DateApril 19, 2022

NPPES CertifiedApril 5, 2022

✔ NPI 1881337640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Louise Whillock Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.