Shelly Marie Whaley, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-093346 Issued in AL

Practice address

3316 US - 280 E
Alexander City, AL 35010

Phone

(256) 329-7100

NPI assigned

Nov 22, 2019

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Hospital CorporationGroup PAC ID 6406754431, shared by 4 NPIs, 48 clinicians

Advanced Cardiovascular, LLCGroup PAC ID 9234309139, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Russell Medical Center Hospital, Alexander City, AL, CCN 010065

Merit-based Incentive Payment System (MIPS)

Final score

71.09 of 100Reported as group

Quality

52.05

Promoting interoperability

80

Improvement activities

40

Cost

68.25

Merit-based Incentive Payment System (MIPS)

Final score

90.77 of 100Reported as group

Quality

100

Improvement activities

40

Cost

69.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Cardiovascular, LLC

  • Cardiovascular Disease Physician
  • Alexander City, AL
  • NPI 1659669307
  Medicare reassignment Care Compare group NPD
• Russell Hospital Corporation

  dba Russell Medical Center

  • Family Medicine Physician
  • Alexander City, AL
  • NPI 1417252537
  Medicare reassignment NPD
• Russell Hospital Corporation

  dba Russell Medical Center

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Medicare reassignment NPD
• Russell Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Alexander City, AL
  • NPI 1306980412
  NPD
• Russell Hospital Corporation

  • Rural Health Clinic/Center
  • New Site, AL
  • NPI 1700419868
  NPD
• The Russell Hospital Corporation

  • Primary Care Clinic/Center
  • Goodwater, AL
  • NPI 1174990626
  NPD

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

• Russell Hospital Corporation

  dba Russell Medical Center

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1093351256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9758 COOSA COUNTY ROAD 40",
            "city": "ROCKFORD",
            "state": "AL",
            "postal_code": "351364106",
            "telephone_number": "256-794-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 US - 280 E",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "35010",
            "telephone_number": "256-329-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "SHELLY",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2022-01-12",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-093346",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-093346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid #7002)
• Walgreen Co (Walgreens #15614)
• Stephanie Walter
• David Neil Welborn, O.D.
• Wendy Cummings P.C.
• Travis Whaley
• Samuel Myles Wiggins, DMD
• Carrie Granger Wilder, CRNA
• William E. Harrell, Jr., DMD, PC (Harrell Orthodontics)
• Catherine Kristina Williams

• Nurse Practitioner in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.