Active NPI
Colleen Whelen
- Nurse Practitioner
- Anderson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95021849
- Practice address
- 3082 McMurray Dr
Anderson, CA 96007-3544 - Phone
- (530) 365-4412
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95021849 | CA | Primary |
Addresses
Primary practice location
3082 McMurray Dr
Anderson, CA 96007-3544
Mailing address
1993 Goren CT
Redding, CA 96003-0001
Phone (530) 355-6642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1355 E St
Suite 200
Redding, CA 96001-0801
Phone (530) 605-4260
Hospital & facility affiliations
- Northstar Healthcare Services
- Valley View Healthcare Services LLC
- Medical Home Care Professionals
- Accentcare Home Health of California, Inc
- Shasta Regional Medical Center
- Oroville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021849 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Medical Services, Inc. | Current | Accepting new patients | |
| Gateway Medical Center Inc | Current | Accepting new patients | |
| Orna Gil MD Inc | Current | Accepting new patients | |
| Shasta Regional Medical Group, Inc | Current | Accepting new patients | |
| Shasta Regional Medical Group Inc | Current | Accepting new patients |
Locations
3082 McMurray Dr
Anderson, CA 96007
Phone (530) 365-4412
9461 Deschutes Rd
Ste 4
Palo Cedro, CA 96073
Phone (530) 547-5305
1801 W Olympic Blvd
#1640
Pasadena, CA 91199
1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940
1100 Butte St
Redding, CA 96001
Phone (530) 227-6361
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ABEFCA
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Redding, CA
- NPI 1396990545
-
- Family Medicine Physician
- Palo Cedro, CA
- NPI 1770993370
-
- General Practice Physician
- Anderson, CA
- NPI 1275685414
-
- Obstetrics & Gynecology Physician
- Redding, CA
- NPI 1588134423
-
- Family Medicine Physician
- Weed, CA
- NPI 1588048680
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Redding, CA
- NPI 1992751382
-
- Home Health Agency
- Sacramento, CA
- NPI 1871186023
-
- Home Health Agency
- Redding, CA
- NPI 1982607065
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1871606269
-
- General Acute Care Hospital
- Redding, CA
- NPI 1205089026
-
- Home Health Agency
- Chico, CA
- NPI 1083207237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1245965508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1993 GOREN CT",
"city": "REDDING",
"state": "CA",
"postal_code": "960030001",
"telephone_number": "530-355-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 MCMURRAY DR",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073544",
"telephone_number": "530-365-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHELEN",
"first_name": "COLLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95021849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.