Individual provider Active NPI

Carol Anne Whelan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1902963325
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
992 Issued in CT
Practice address
287 West St
Rocky Hill, CT 06067-3501
Phone
(860) 529-2571
Fax
(860) 721-5953
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 000992 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 992 CT Primary

Addresses

Primary practice location

287 West St
Rocky Hill, CT 06067-3501

Mailing address

287 West St
Rocky Hill, CT 06067-3501
Phone (860) 529-2571

Other practice location 1

428 Hartford Tpke
Vernon, CT 06066-4841
Phone (860) 858-4947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20120830000122 CT Practitioner - Nurse Practitioner 9638326424 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC CurrentSince Aug 30, 2012 Accepting new patients
Community Health Resources, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health Current Accepting new patients
Ipc Hospitalists of New England, P.C. Adult Health CurrentSince Aug 30, 2012 Accepting new patients
Hospital Medicine Associates LLC CurrentSince Jul 1, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Jan 1, 2019 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Starling Physicians, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Community Health Resources, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Veterans Home and Health Care Facility Past Accepting new patients
Urologic Associates, PC PastSince Jul 1, 2019 Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

428 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 871-2508

2 Waterside Xing
Ste 401
Windsor, CT 06095

Interoperability endpoints

  • Direct secure messaging: carol.whelan@xdr.hhchealthdirect.org

Organizations & group practices 11

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1902963325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 WEST ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673501",
            "telephone_number": "860-529-2571",
            "fax_number": "860-721-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 WEST ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673501",
            "telephone_number": "860-529-2571",
            "fax_number": "860-721-5953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Hartford Tpke",
            "address_purpose": "LOCATION",
            "city": "Vernon",
            "state": "CT",
            "postal_code": "060664841",
            "country_code": "US",
            "telephone_number": "860-858-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHELAN",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "000992",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.