Kelly Whalen, PA
NPI 1811502578 · Physician Assistant · Gastonia, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Whalen, PA is a Physician Assistant provider in Gastonia, NC (NPI 1811502578).
Provider details
- NPI number
- 1811502578
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-14158 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
346 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 110 | $101 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 98 | $10 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 95 | $8 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test85027 | 22 | $6 |
| Lactate Dehydrogenase (enzyme) Level83615 | 21 | $6 |
Typical Medicare-allowed amounts for these services range $6–$101 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 13 | — |
| Potassium Chloride | 12 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (5)
- 945 N 5th StAlbemarle, NC 28001-3417Phone: (980) 323-7790
- 4525 Cameron Valley PkwySte 3500Charlotte, NC 28211-4369Phone: (704) 302-8300
- 1021 Morehead Medical DrSte aCharlotte, NC 28204-2990Phone: (980) 442-2000
- 100 Medical Park DrSte 110Concord, NC 28025-2948Phone: (704) 403-1370
- 1450 Matthews Township Pkwy Ste 380Matthews, NC 28105-2389Phone: (704) 384-9200Fax: (704) 384-6588
Registry dates
- Enumerated
- 2020-09-10
- Last updated
- 2025-06-05
- Certified
- 2025-06-05
Frequently asked questions
- What is Kelly Whalen's NPI number?
- Kelly Whalen's National Provider Identifier (NPI) is 1811502578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Whalen's specialty?
- Kelly Whalen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Whalen located?
- Kelly Whalen's practice location on file with NPPES is 2610 Aberdeen Blvd, Gastonia, NC 28054-0637.
- What is Kelly Whalen's phone number?
- The practice phone number listed in the NPPES registry for Kelly Whalen is (980) 442-4500.
- Does Kelly Whalen accept Medicare?
- Kelly Whalen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Whalen's NPI active?
- Yes — Kelly Whalen's NPI (1811502578) is active in the NPPES registry as of the last update on 2025-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.