Individual provider Active NPI

Brett Nathan Whaley, ACNP-BC

  • Acute Care Nurse Practitioner
  • Katy, TX
National Provider Identifier
1164797643
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP121121 Issued in TX
Practice address
29422 Pewter Run LN
Katy, TX 77494-1200
Phone
(281) 770-0150
NPI assigned
Mar 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP121121 TX Primary

Addresses

Primary practice location

29422 Pewter Run LN
Katy, TX 77494-1200

Mailing address

29422 Pewter Run LN
Katy, TX 77494-1200
Phone (281) 770-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20121031000104 TX Practitioner - Nurse Practitioner 7618127580 Reassigns benefits to 5 organizations
I20230918003863 IN Practitioner - Nurse Practitioner 7618127580 Reassigns benefits to 1 organization
I20240106000137 NJ Practitioner - Nurse Practitioner 7618127580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Medical Group of New Jersey PA CurrentSince Apr 22, 2024 Accepting new patients
Critical Care Services, P.C. Acute Care CurrentSince Jul 1, 2021 Accepting new patients
Perry Medical Group of Florida PA CurrentSince Apr 22, 2024 Accepting new patients
New York Remote Medical PC CurrentSince Apr 22, 2024 Accepting new patients
Hospitalist Physicians of New Jersey PA Nurse Practitioner CurrentSince Nov 22, 2023 Accepting new patients
Hospitalist Physicians of Indiana, PC Nurse Practitioner CurrentSince Aug 15, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Feb 15, 2024 Accepting new patients
Sheth, MD, P.a. PastSince Aug 4, 2014 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

65 James St
Edison, NJ 08820
Phone (732) 321-7010

7505 Main St
Ste 550
Houston, TX 77030

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 8

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": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1164797643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29422 PEWTER RUN LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941200",
            "telephone_number": "281-770-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29422 PEWTER RUN LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941200",
            "telephone_number": "281-770-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "BRETT",
        "middle_name": "NATHAN",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP121121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.