Active NPI
Timothy Whalen, CRNA
- Certified Registered Nurse Anesthetist
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704248601
- Practice address
- 76 Peachtree Road
Suite 300
Asheville, NC 28803-3395 - Phone
- (828) 254-1969
- Fax
- (828) 274-7407
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 87753 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704248601 | MI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 466921 | NY |
Addresses
Primary practice location
76 Peachtree Road
Suite 300
Asheville, NC 28803-3395
Mailing address
76 Peachtree Rd Ste 300
Asheville, NC 28803-3505
Phone (828) 254-1969
Other practice location 1
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Other practice location 2
5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4800577 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY, ID
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
- Crouse Hospital
- Memorial Mission Hospital and Asheville Surgery Ce
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704248601 | MI | MD | Certified Registered Nurse Anesthetist |
| 87753 | NC | MD | Certified Registered Nurse Anesthetist |
| 294 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients | |
| Liberal Anesthesia Consultants LLC | Past | Accepting new patients |
Locations
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
76 Peachtree Rd
Ste 300
Asheville, NC 28803
Phone (828) 254-1969
830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- Anesthesiology Physician
- Liberal, KS
- NPI 1982648515
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Asheville, NC
- NPI 1962987677
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1023104585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 PEACHTREE RD STE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288033505",
"telephone_number": "828-254-1969",
"fax_number": "828-274-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 PEACHTREE ROAD",
"address_2": "SUITE 300",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288033395",
"telephone_number": "828-254-1969",
"fax_number": "828-274-7407"
}
],
"practiceLocations": [
{
"address_1": "736 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101602",
"country_code": "US",
"telephone_number": "315-470-7111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5801 E Taft Rd",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132123291",
"country_code": "US",
"telephone_number": "315-418-4140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEN",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "87753",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704248601",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "466921",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4800577",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.