Individual provider Active NPI

Colette Whelan, FNP

  • Family Nurse Practitioner
  • Homer, AK
National Provider Identifier
1497933329
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
149102 Issued in AK
Practice address
880 E End Rd
Homer, AK 99603-7201
Phone
(907) 226-2228
Fax
(907) 226-2230
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147545 AK
Registered Nurse 163W00000X 092006227RN OR
Family Nurse Practitioner 363LF0000X 149102 AK Primary

Addresses

Primary practice location

880 E End Rd
Homer, AK 99603-7201

Mailing address

421 S Fir St
Sisters, OR 97759-1218
Phone (541) 280-1153

Other practice location 1

2577 NE Courtney Dr
Bend, OR 97701-7638
Phone (541) 322-7409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200519000731 TX Practitioner - Nurse Practitioner 7618308057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seldovia Village TribeGroup PAC ID 8820072200, 13 clinicians

Practice addresses (Care Compare)

880 E End Rd
Homer, AK 99603-7201
Phone (907) 226-2228

Hospital & facility affiliations

  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147545AKMDRegistered Nurse
149102AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seldovia Village Tribe CurrentSince Jan 8, 2024 Accepting new patients

Locations

880 East End Rd
Homer, AK 99603
Phone (907) 226-2228

Organizations & group practices 1

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 1

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1497933329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S FIR ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591218",
            "telephone_number": "541-280-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E END RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037201",
            "telephone_number": "907-226-2228",
            "fax_number": "907-226-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 NE Courtney Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017638",
            "country_code": "US",
            "telephone_number": "541-322-7409",
            "fax_number": "541-322-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "COLETTE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "147545",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "092006227RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "149102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.