Individual provider Active NPI

Lisbeth Marie Whaley, DNP

  • Family Nurse Practitioner
  • New London, IA
National Provider Identifier
1912781949
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A175999 Issued in IA
Practice address
2162 330TH St
New London, IA 52645-9165
Phone
(319) 931-5194
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A175999 IA Primary

Addresses

Primary practice location

2162 330TH St
New London, IA 52645-9165

Mailing address

400 E Polk St
Washington, IA 52353-1254

Other practice location 1

400 East Polk Street
Washington, IA 52353-1254
Phone (319) 653-5481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231102000964 IA Practitioner - Nurse Practitioner 2668828211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County HospitalGroup PAC ID 2062329931, shared by 8 NPIs, 39 clinicians

Practice addresses (Care Compare)

400 E Polk St
Washington, IA 52353-1237
Phone (319) 653-5481

400 E Polk St WCHC Specialty Clinic
Ken and Rosemary Hanson Specialty Clinic
Washington, IA 52353-1237
Phone (319) 653-5481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A175999IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital CurrentSince Nov 1, 2023 Accepting new patients
Washington County Hospital Current Accepting new patients
Washington County Hospital CurrentSince Oct 8, 2025 Accepting new patients
Washington County Hospital CurrentSince Nov 1, 2023 Accepting new patients
Washington County Hospital Past Accepting new patients

Locations

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

444 E Polk St
Washington, IA 52353
Phone (319) 653-6601

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/washin-6836dd27

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1912781949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 330TH ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526459165",
            "telephone_number": "319-931-5194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 East Polk Street",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523531254",
            "country_code": "US",
            "telephone_number": "319-653-5481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "LISBETH",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A175999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, IA

Sources for this page

Verify at the official NPI Registry.