Active NPI
Chase Jonathan Whelan, PA-C
- Surgical Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 2208 S 17TH St Ste 201
Wilmington, NC 28401 - Phone
- (910) 763-3333
- NPI assigned
- Aug 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 004247 | CT | |
| Surgical Physician Assistant | 363AS0400X | NC | Primary |
Addresses
Primary practice location
2208 S 17TH St Ste 201
Wilmington, NC 28401
Mailing address
2208 S 17TH St Ste 201
Wilmington, NC 28401-7594
Phone (910) 763-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191230002605 | NC | Practitioner - Physician Assistant | 9638418312 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atlantic Brain and Spine, P.a.
Practice addresses (Care Compare)
2208 S 17TH St
Suite 201
Wilmington, NC 28401-7594
Phone (910) 763-3333
2800 Ashton Dr
Suite 200
Wilmington, NC 28412-2486
Phone (910) 799-2262
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004247 | CT | MD | Surgical Physician Assistant |
| 4247 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Brain and Spine, P.a. | Single Specialty | Current | Accepting new patients |
Locations
2208 S 17th St
Wilmington, NC 28401
Phone (910) 763-3333
2208 S 17th St
Ste 201
Wilmington, NC 28401
Phone (910) 763-3333
Interoperability endpoints
- cwhelan1047607@direct.novanthealth.org
Organizations & group practices 3
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 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1023590502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 S 17TH ST STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017594",
"telephone_number": "910-763-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 S 17TH ST STE 201",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-763-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELAN",
"first_name": "CHASE",
"middle_name": "JONATHAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-31",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "004247",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.