Individual provider Active NPI

Colleen Whelen

  • Nurse Practitioner
  • Anderson, CA
National Provider Identifier
1245965508
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95021849 Issued in CA
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

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221001866 CA Practitioner - Nurse Practitioner 0941672919 Reassigns benefits to 2 organizations

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
Shasta Regional Medical Group IncGroup PAC ID 5991861353, 32 clinicians

Practice addresses (Care Compare)

1355 E St
Suite 200
Redding, CA 96001-0801
Phone (530) 605-4260

Hospital & facility affiliations

  • Northstar Healthcare Services Home health agency, Sacramento, CA, CCN 757243
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Medical Home Care Professionals Home health agency, Redding, CA, CCN 557107
  • Accentcare Home Health of California, Inc Home health agency, Redding, CA, CCN 557273
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021849CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Medical Services, Inc. CurrentSince Jan 2, 2023 Accepting new patients
Gateway Medical Center Inc CurrentSince Jul 24, 2022 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Feb 6, 2024 Accepting new patients
Shasta Regional Medical Group Inc CurrentSince Feb 6, 2024 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

  • FHIR API: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.