Individual provider Active NPI

Faith Miller Whalen, MD

  • Dermatology Physician
  • Bangor, ME
National Provider Identifier
1124256029
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD19826 Issued in ME
Practice address
90 Ridgewood Dr
Bangor, ME 04401-2652
Phone
(207) 942-0669
Fax
(207) 947-3143
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD19826 ME Primary

Addresses

Primary practice location

90 Ridgewood Dr
Bangor, ME 04401-2652

Mailing address

90 Ridgewood Dr
Bangor, ME 04401-2652
Phone (207) 942-0669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140407000059 ME Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4981845898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Skin Cancer Center PLLCGroup PAC ID 3678934742, 3 clinicians

Practice addresses (Care Compare)

117 Broadway
Suite 3
Bangor, ME 04401-5205
Phone (207) 802-0853

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
85.35
Improvement activities
40
Cost
86.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of skin lesions189
Removal of skin cancer698
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19826MEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Maine Skin Cancer Center PLLC Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Penobscot Valley Dermatology, P.a. CurrentSince Jan 1, 2014 Accepting new patients

Locations

117 Broadway
Ste 3
Bangor, ME 04401
Phone (207) 802-0853

90 Ridgewood Dr
Bangor, ME 04401
Phone (207) 262-3744

381 Main St
Orono, ME 04473
Phone (207) 942-0669

Interoperability endpoints

  • Direct secure messaging: fwhalen@nmscc.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1124256029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-942-0669",
            "fax_number": "207-947-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 RIDGEWOOD DR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012652",
            "telephone_number": "207-942-0669",
            "fax_number": "207-947-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "FAITH",
        "middle_name": "MILLER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "MD19826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.