Active NPI
Carolyn M Whewell, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fredericktown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP030631
- Practice address
- 1070 Old National Pike
Fredericktown, PA 15333-2114 - Phone
- (724) 632-6801
- NPI assigned
- Sep 13, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP030631 | PA | Primary |
Addresses
Primary practice location
1070 Old National Pike
Fredericktown, PA 15333-2114
Mailing address
150 N Haft St
Houston, PA 15342-1512
Phone (724) 413-5859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250711003801 | PA | Practitioner - Nurse Practitioner | 4284149907 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centerville Clinics, Inc.
Practice addresses (Care Compare)
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
1070 Old National Pike Rd
Fredericktown, PA 15333-2114
Phone (724) 632-6801
190 Bonar Ave
Waynesburg, PA 15370-1604
Phone (724) 627-8156
37 Highland Ave
Washington, PA 15301-4062
Phone (724) 223-1067
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP030631 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerville Clinics, Inc | Current | Accepting new patients | |
| Centerville Clinics , Inc. | Current | Accepting new patients |
Locations
1070 Old National Pike
Fredericktown, PA 15333
Interoperability endpoints
- carolyn.whewell.1@33484.direct.athenahealth.com
Organizations & group practices 24
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.
-
- Specialist
- Fredericktown, PA
- NPI 1720339393
-
- School Social Worker
- Bentleyville, PA
- NPI 1033695077
-
- Specialist
- Coal Center, PA
- NPI 1043498280
-
- Federally Qualified Health Center (FQHC)
- Donora, PA
- NPI 1164064002
-
- School Social Worker
- Bentleyville, PA
- NPI 1205312394
-
- School Social Worker
- Bobtown, PA
- NPI 1477039410
-
- School Social Worker
- Washington, PA
- NPI 1700384807
-
- School Social Worker
- Fredericktown, PA
- NPI 1871079962
-
- School Social Worker
- Washington, PA
- NPI 1992203095
-
- Federally Qualified Health Center (FQHC)
- Fairchance, PA
- NPI 1003037201
-
- Federally Qualified Health Center (FQHC)
- Republic, PA
- NPI 1043430267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1801622949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N HAFT ST",
"city": "HOUSTON",
"state": "PA",
"postal_code": "153421512",
"telephone_number": "724-413-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 OLD NATIONAL PIKE",
"city": "FREDERICKTOWN",
"state": "PA",
"postal_code": "153332114",
"telephone_number": "724-632-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEWELL",
"first_name": "CAROLYN",
"middle_name": "M",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP030631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericktown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.