WHITNEY FALLON (APRN, FNP-C) – Nurse Practitioner, NPI 1306380019
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WHITNEY FALLON (APRN, FNP-C)
PO BOX 9203
BELFAST, ME 049159203
Phone: (502) 895-9627
Type: Mailing
3950 KRESGE WAY STE 308
LOUISVILLE, KY 402074637
Phone: (502) 895-8911
Type: Location
19416 LAKESIDE DR
CHARLESTOWN, IN 471119807
Phone: (502) 882-0176
Type: Mailing
13000 EQUITY PL STE 105
LOUISVILLE, KY 402233976
Phone: (502) 882-0176
Fax: (502) 234-9225
Type: Location
3950 Kresge Way Ste 308
Louisville, KY 402074637
Phone: (502) 895-8911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Novo Nordisk Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $17 |
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: 2017-05-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170508001952 | I | Nurse Practitioner | KY | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | KY | |
| Nurse Practitioner | KY | |
| Hospitalist, Internal Medicine | ME | |
| Nurse Practitioner | IN | |
| H O S P I T A L I S T | KY | |
| H O S P I T A L I S T | KY | |
| Hospitalist, Pediatric Medicine | KY | |
| Nurse Practitioner | ME |
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