Active NPI
Stephanie Whalen, NP
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5014743
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-1461 - Phone
- (336) 713-5215
- Fax
- (336) 716-0030
- NPI assigned
- Jul 18, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5014743 | NC | Primary |
| Licensed Practical Nurse | 164W00000X | NR13231200 | NJ | |
| Licensed Practical Nurse | 164W00000X | NJ00327500 | NJ | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00327500 | NJ |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-1461
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-5215
Other practice location 1
1 Cooper Plz
Clinical Decision Unit
Camden, NJ 08103-1461
Phone (856) 342-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 270-4100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.23 of 100
- Quality
- 77.64
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ00327500 | NJ | MD | Licensed Practical Nurse |
| NR13231200 | NJ | MD | Licensed Practical Nurse |
| 5014743 | NC | MD | Nurse Practitioner |
| 26NJ00327500 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Cooper Surgical Associates, PA | Current | Accepting new patients |
Locations
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
Interoperability endpoints
- swhalen29959@direct.cooperhealth.edu
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
- Surgery Physician
- Camden, NJ
- NPI 1649217514
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1619265279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-5215",
"fax_number": "336-716-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571461",
"telephone_number": "336-713-5215",
"fax_number": "336-716-0030"
}
],
"practiceLocations": [
{
"address_1": "1 Cooper Plz",
"address_2": "Clinical Decision Unit",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081031461",
"country_code": "US",
"telephone_number": "856-342-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEN",
"first_name": "STEPHANIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5014743",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "NR13231200",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "NJ00327500",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00327500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.