Individual provider Active NPI

Jennifer Whelan, BSN

  • Psychiatric/Mental Health Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1669236584
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN197361 Issued in AZ
Practice address
4270 N 81St St
Scottsdale, AZ 85251-2667
Phone
(602) 549-7757
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN197361 AZ Primary

Addresses

Primary practice location

4270 N 81St St
Scottsdale, AZ 85251-2667

Mailing address

4270 N 81St St
Scottsdale, AZ 85251-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250818001353 AZ Practitioner - Nurse Practitioner 5799284725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Bolt Behavioral LLCGroup PAC ID 0446662241, 4 clinicians

Practice addresses (Care Compare)

42201 N 41St Dr
Suite B160
Anthem, AZ 85086-3800
Phone (480) 568-1745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN197361AZMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Bolt Behavioral LLC CurrentSince Jun 5, 2025 Accepting new patients
Sonoran Sun Wellness, LLC PastSince Dec 24, 2023 Accepting new patients

Locations

42201 N 41st Dr
Ste B160
Anthem, AZ 85086
Phone (480) 527-0042

42201 N 41st Dr
Ste 160
Anthem, AZ 85086
Phone (480) 527-0042

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1669236584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4270 N 81ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4270 N 81ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512667",
            "telephone_number": "602-549-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "JENNIFER",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN197361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.