Individual provider Active NPI

Paulette Jo Whalen, NP

  • Nurse Practitioner
  • Waukesha, WI
National Provider Identifier
1932717410
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10225-33 Issued in WI
Practice address
W267S7535 Olympia CT N
Waukesha, WI 53189-9637
Phone
(414) 315-6607
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 15701730 WI
Nurse Practitioner 363L00000X 10225-33 WI Primary

Addresses

Primary practice location

W267S7535 Olympia CT N
Waukesha, WI 53189-9637

Mailing address

W267S7535 Olympia CT N
Waukesha, WI 53189-9637
Phone (414) 315-6607

Other identifiers 1

IdentifierTypeStateIssuer
157017-30OtherWIRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210610001326 WI Practitioner - Nurse Practitioner 9830338219 Reassigns benefits to 2 organizations
I20260327001474 IA Practitioner - Nurse Practitioner 9830338219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

W267S7535 Olympia CT N
Waukesha, WI 53189-9637

Merit-based Incentive Payment System (MIPS)

Final score
99.7 of 100Reported as group
Quality
90.86
Promoting interoperability
100
Improvement activities
40
Cost
74.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15701730WIMDHome Health Registered Nurse
10225-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Services LLC Single Specialty CurrentSince May 1, 2021 Accepting new patients
Great Health Medical Wi SC Single Specialty CurrentSince Sep 15, 2025 Accepting new patients

Locations

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

1905 W Hart Rd
Beloit, WI 53511
Phone (608) 365-2554

1901 Libal St
Green Bay, WI 54301
Phone (920) 430-8500

1760 Shawano Ave
Green Bay, WI 54303
Phone (920) 499-5191

Organizations & group practices 3

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1932717410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W267S7535 OLYMPIA CT N",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899637",
            "telephone_number": "414-315-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W267S7535 OLYMPIA CT N",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531899637",
            "telephone_number": "414-315-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "PAULETTE",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "15701730",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10225-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "157017-30",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.