THOMAS LEE JR. WHITEHEAD (FNP-C) – Nurse Practitioner, NPI 1982122560

THOMAS LEE JR. WHITEHEAD (FNP-C) is a healthcare provider. based in Imperial, California. specializing in Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 95007261 (CA). The NPI Number for THOMAS LEE JR. WHITEHEAD (FNP-C) is 1982122560

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS LEE JR. WHITEHEAD (FNP-C)
NPI
1982122560
Phone
(769) 960-2376
Address
2555 VALLE VERDE LN
Enumeration Date
5 September 2017
Last Update Date
5 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7603513333
Graduation Year
2017 (9 years ago)
PAC ID
6305102609
Group Practice PAC ID
6103739131
Professional Enrollment ID
I20171101003286
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for THOMAS LEE JR. WHITEHEAD (FNP-C)

  • 2555 VALLE VERDE LN

    IMPERIAL, CA 922518003

    Phone: (769) 960-2376

    Type: Mailing

  • Pioneers Memorial Hospital, 207, West Legion Road, Brawley, Imperial County, California, 92227, United States

    BRAWLEY, CA 922277780

    Phone: (760) 351-3130

    Fax: (760) 351-3130

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Dexcom, Inc. ($27).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171101003286INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 92251)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103739131View full group profile
NameSpecialtyState
Emergency MedicineOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineCA
-DE
Emergency MedicineCA
Emergency MedicineCA
-CA
Emergency MedicineCA
Emergency MedicineNY

Reviews

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Frequently asked questions

What NPI should I save for THOMAS LEE JR. WHITEHEAD (FNP-C)?
Save NPI 1982122560 if you need a stable reference for THOMAS LEE JR. WHITEHEAD (FNP-C).
Is THOMAS LEE JR. WHITEHEAD (FNP-C) active in the national directory?
THOMAS LEE JR. WHITEHEAD (FNP-C)'s public NPI profile is in an active state.
Can you summarize THOMAS LEE JR. WHITEHEAD (FNP-C)'s specialty in plain language?
Clinically, the directory lists THOMAS LEE JR. WHITEHEAD (FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for THOMAS LEE JR. WHITEHEAD (FNP-C)?
We surface Imperial, California for THOMAS LEE JR. WHITEHEAD (FNP-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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