MR. MICHAEL ELLIOT WHALEN PA
NPI 1922470533
Physician Assistant in Providence, RI

Q: What is Michael Whalen's NPI number?

The NPI number for Michael Whalen is 1922470533. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Q: What is Michael Whalen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Whalen was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 21, 2015PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE, PROVIDENCE, RI 02906(401) 793-4102(401) 793-4049 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2020, Feb 24, 2020, Dec 17, 2019 (3 updates tracked since 2019).

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About Mr. Michael Elliot Whalen Pa NPPES

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

MR. MICHAEL ELLIOT WHALEN PA (NPI 1922470533) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01153) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922470533

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MICHAEL ELLIOT WHALENCredential: PA

Location Address164 SUMMIT AVEProvidence, RI 02906-2853

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 793-4102

Fax(401) 793-4049

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 21, 2015

Last NPPES UpdateMarch 25, 20243 updates tracked since enumeration

NPPES CertifiedMarch 25, 2024

✔ NPI 1922470533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in RI · PA01153✔ Licensed in MA · PA5543

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.

164 SUMMIT AVE, Providence, RI 02906

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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 and accepts Medicare assignment

Mr. Michael Elliot 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 ID2163726506

PECOS Enrollment IDI20200117001477

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.

Hospital Affiliations CMS Care Compare

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

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

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.

MRS. HALINA KUC-MAZGAJ

Nurse Practitioner (Family)

164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906

Providence County (401) 793-3902

KARL HERMAN M.D.

Internal Medicine

164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MUHAMMAD BAIG M.D.

Internal Medicine (Cardiovascular Disease)

164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906

Providence County (401) 793-4489

MS. LEANNE LAPARLE LICSW

Social Worker (Clinical)