MITCHELL WHALEN
NPI 1992486336
Nurse Practitioner - Family in Darlington, WI

Active since July 27, 2023PECOS EnrolledAccepts Medicare Assignment
731 CLAY ST, DARLINGTON, WI 53530(608) 776-4497 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitchell Whalen NPPES

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

MITCHELL WHALEN (NPI 1992486336) is an individual family provider in Darlington, Wisconsin, licensed in Wisconsin (14287-33) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Lafayette County, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992486336
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMITCHELL WHALEN
Location Address731 CLAY STDarlington, WI 53530-1225
Mailing Address800 Clay StDarlington, WI 53530-1228
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 27, 2023
NPPES CertifiedJuly 27, 2023
NPI 1992486336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 14287-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 235849-30 (WI)
731 CLAY ST, Darlington, WI 53530

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

Mitchell Whalen 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 ID7618339078
PECOS Enrollment IDI20230816003192
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.

Memorial Hospital Of Lafayette County

Critical Access Hospitals · Darlington, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number521312
Location800 Clay StDarlington, WI 53530 · Lafayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53530 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 13

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

Family Medicine
731 CLAY ST
DARLINGTON, WI 53530
Family Medicine
731 CLAY ST
DARLINGTON, WI 53530
Physician Assistant
731 CLAY ST
DARLINGTON, WI 53530
Family Medicine
731 CLAY ST
DARLINGTON, WI 53530
Physician Assistant (Medical)
731 CLAY ST
DARLINGTON, WI 53530
Family Medicine
731 CLAY ST
DARLINGTON, WI 53530
Social Worker
731 CLAY ST
DARLINGTON, WI 53530
Nurse Practitioner (Family)
731 CLAY ST
DARLINGTON, WI 53530

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 Mitchell Whalen's NPI number?

The NPI number for Mitchell Whalen is 1992486336. It was assigned to this individual provider in the NPPES registry on July 27, 2023.

Where is Mitchell Whalen located?

Mitchell Whalen practices at 731 Clay St, Darlington, WI 53530. The listed phone number is (608) 776-4497.

What is Mitchell Whalen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mitchell Whalen enrolled in Medicare?

Yes. Mitchell 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 Mitchell Whalen accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Mitchell 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 Mitchell Whalen affiliated with any hospitals?

According to CMS data, Mitchell Whalen is affiliated with Memorial Hospital Of Lafayette County.

When was this NPI record last updated?

The NPPES record for Mitchell Whalen was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.