Active NPI
Julie Ann Aldrich Whalen, ARNP
- Nurse Practitioner
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 202011186NP-PP
- Practice address
- 2084 NE Professional CT
Bend, OR 97701-6077 - Phone
- (541) 383-3005
- Fax
- (541) 383-1883
- NPI assigned
- Oct 27, 2011
- Last updated
- Jun 26, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 202011186NP-PP | OR | Primary |
Addresses
Primary practice location
2084 NE Professional CT
Bend, OR 97701-6077
Mailing address
600 SW Columbia St Ste 6250
Bend, OR 97702-1099
Phone (541) 383-3005
Other practice location 1
2755 NE 27th St
Bend, OR 97701-9539
Phone (541) 383-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500755318 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202011186NP-PP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bend Memorial Clinic PC | Nurse Practitioner | Current | Accepting new patients |
| Bend Memorial Clinic PC | Current | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients | |
| Mosaic Community Health | Past | Accepting new patients | |
| The Ida Karlin Pediatric Center | Past | Accepting new patients |
Locations
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
2090 NE Wyatt Ct
Ste 101
Bend, OR 97701
Phone (541) 382-6447
1245 NW 4th St
Redmond, OR 97756
Phone (541) 526-1771
Interoperability endpoints
- jwhalen598146@direct.ochin.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summit Health
- Family Medicine Physician
- Bend, OR
- NPI 1699827477
Nurse Practitioner
-
dba Bend Memorial Clinic PC dba Summit Health
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Prineville, OR
- NPI 1083633184
-
dba Mosaic Medical
- Federally Qualified Health Center (FQHC)
- Bend, OR
- NPI 1275244345
-
- Pediatrics Physician
- Puyallup, WA
- NPI 1366657918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1740566306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SW COLUMBIA ST STE 6250",
"city": "BEND",
"state": "OR",
"postal_code": "977021099",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016077",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883"
}
],
"practiceLocations": [
{
"address_1": "2755 NE 27th St",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977019539",
"country_code": "US",
"telephone_number": "541-383-3005",
"fax_number": "541-383-1883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEN",
"first_name": "JULIE",
"middle_name": "ANN ALDRICH",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "202011186NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500755318",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.