Individual provider Active NPI

Paula M Whalen, NP

  • Acute Care Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1174911846
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704231240 Issued in MI
Practice address
9450 S Saginaw Rd
Suite E
Grand Blanc, MI 48439-8206
Phone
(810) 695-4000
Fax
(810) 695-4055
NPI assigned
Jan 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704231240 MI
Acute Care Nurse Practitioner 363LA2100X 4704231240 MI Primary

Addresses

Primary practice location

9450 S Saginaw Rd
Suite E
Grand Blanc, MI 48439-8206

Mailing address

36123 Schoolcraft Rd
Suite E
Livonia, MI 48150-1216
Phone (734) 793-6140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150202000276 MI Practitioner - Nurse Practitioner 8628392214 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000

580 W College Ave
Up Health System
Marquette, MI 49855-2736
Phone (906) 228-9440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704231240MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Oakland CurrentSince Sep 8, 2020 Accepting new patients
Emergency Medicine Physicians of Genesee County, PLLC CurrentSince May 17, 2022 Accepting new patients
McLaren Oakland CurrentSince Sep 8, 2020 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Surgical Affiliates of California CurrentSince Oct 20, 2020 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Sep 26, 2024 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner CurrentSince Sep 26, 2024 Accepting new patients
Inpatient Consultants of Michigan PC CurrentSince Oct 18, 2016 Accepting new patients
Observation Medicine Group PLLC CurrentSince May 17, 2022 Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

36123 Schoolcraft Rd
Ste E
Livonia, MI 48150

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
#2S
Pontiac, MI 48342
Phone (248) 338-5865

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

Interoperability endpoints

  • Direct secure messaging: pwhalen1157394@direct.hfhs.org

Organizations & group practices 9

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": "1420416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1174911846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT RD",
            "address_2": "SUITE E",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-793-6140",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 S SAGINAW RD",
            "address_2": "SUITE E",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398206",
            "telephone_number": "810-695-4000",
            "fax_number": "810-695-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-05",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704231240",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704231240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.