Active NPI
Colette Whelan, FNP
- Family Nurse Practitioner
- Homer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 149102
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
880 E End Rd
Homer, AK 99603-7201
Phone (907) 226-2228
Hospital & facility affiliations
- South Peninsula Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 147545 | AK | MD | Registered Nurse |
| 149102 | AK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seldovia Village Tribe | Current | 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.
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.