Individual provider Active NPI

Timothy Whalen, CRNA

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
National Provider Identifier
1023104585
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704248601 Issued in MI
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

Updated by the provider on Dec 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4800577MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090206000078 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870577620 Reassigns benefits to 1 organization
I20170220001988 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870577620 Reassigns benefits to 2 organizations
I20240719003557 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870577620 Reassigns benefits to 1 organization

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
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704248601MIMDCertified Registered Nurse Anesthetist
87753NCMDCertified Registered Nurse Anesthetist
294NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince May 26, 2024 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jan 1, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Sep 1, 2018 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince May 26, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.