Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922470533 Individual Practitioner Male Practitioner

Michael Elliot Whalen , PA

Physician Assistant • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Whalen, PA is a certified Physician Assistant practicing in Providence, RI. With approximately 11 years of clinical experience since completing medical education in 2015, Michael Whalen delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Michael Whalen is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration and interpretation of patient-focused health risk assessment, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

164 Summit Ave

Providence, RI 029062853

Telephone 4017934102
Fax 4017934049
Associated Practice Facility / Clinic
🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +0.4 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate
16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Whalen (11 Years) 11 Yrs
Providence Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 20 $240.00 $89.71
96160 Administration and interpretation of patient-focused health risk assessment
16 15 $10.00 $2.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
13 13 $340.00 $136.95

Medical Specialties & State Licenses

CMS Verified: 2024-03-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01153

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA PA5543

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Lifespan Physician Group Inc

164 Summit Ave, Providence, RI 029062853

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Jina Martin

Nurse Practitioner

NPI 1043917511
Krissy Nguyen-Stone , NP

Nurse Practitioner - Adult Health

NPI 1124457775

Nurse Practitioner

Ida White , PA

Physician Assistant - Medical

NPI 1154882538

Physician Assistant

Heidi Jimenez

Nurse Practitioner - Acute Care

NPI 1356847172
Linda Dangol

Nurse Practitioner - Family

NPI 1376278531
Sharon Ochanda , NP

Nurse Practitioner

NPI 1477428613

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location March 25, 2024

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017934102)

📍
Updated Business Mailing Address March 25, 2024

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2024

Physician Assistant (License #PA5543 in MA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Physician Assistant (License #PA01153 in RI)

📍
Updated Practice Location February 24, 2020

Registered at 180 CORLISS ST STE B, PROVIDENCE, RI 029042602 (Tel: 4017938400)

📍
Updated Business Mailing Address February 24, 2020

Registered at 180 CORLISS ST STE B, PROVIDENCE, RI 029042602 (Tel: 4017938400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2020

Physician Assistant (License #PA5543 in MA)

📍
Updated Practice Location December 17, 2019

Registered at 1 HOPPIN ST STE 3, PROVIDENCE, RI 029034141 (Tel: 4017938400)

📍
Updated Business Mailing Address December 17, 2019

Registered at 1 COMMERCE ST STE 200, LINCOLN, RI 028651186 (Tel: 4017938392)

👤
Provider Name / Credentials Updated December 17, 2019

Recorded as MICHAEL WHALEN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Physician Assistant (License #PA01153 in RI)

NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2015

Registered at 101 PAGE ST, ST LUKE'S HOSPITAL ATTN: LINDA SILVA, NEW BEDFORD, MA 027403464 (Tel: 5089735771)

📍
Updated Business Mailing Address October 21, 2015

Registered at 101 PAGE ST, ST LUKE'S HOSPITAL ATTN: LINDA SILVA, NEW BEDFORD, MA 027403464 (Tel: 5089735771)

👤
Provider Name / Credentials Updated October 21, 2015

Recorded as MICHAEL WHALEN, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Physician Assistant (License #PA5543 in MA)

🟢
Initial NPI Registration & Enumeration October 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Michael Whalen. Be the first to share your experience!

Sign in to leave a review for Michael Whalen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1922470533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2015
Last Update: March 25, 2024
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.