GEOFFREY WHITLEY (FNP) – Family Nurse Practitioner, NPI 1083994404

GEOFFREY WHITLEY (FNP) is a healthcare provider. based in Charlestown, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN2267850 (MA). The NPI Number for GEOFFREY WHITLEY (FNP) is 1083994404

Main info

Male
Sole Proprietor
15 Years Of Experience
Name
GEOFFREY WHITLEY (FNP)
NPI
1083994404
Phone
(325) 439-9799
Address
C8 SHIPWAY PL
Enumeration Date
17 August 2011
Last Update Date
11 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7813961199
Graduation Year
2011 (15 years ago)
PAC ID
4587836408
Group Practice PAC ID
8820992456
Professional Enrollment ID
I20111018000574
Address ID
MA021554632ME151XXAVEX301
Telehealth
Yes

Contacts

Secure Messaging
geoffrey@whitleywellness.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

Provider Addresses for GEOFFREY WHITLEY (FNP)

  • C8 SHIPWAY PL

    CHARLESTOWN, MA 021294301

    Phone: (325) 439-9799

    Type: Location

  • 1 HARBORSIDE DR

    EAST BOSTON, MA 021282907

    Phone: (617) 568-6500

    Type: Location

  • 90 NEW STATE HWY

    RAYNHAM, MA 027675460

    Phone: (508) 880-6868

    Fax: (508) 880-6848

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 523 Open Payments records for all available years, with a total value of $29,725.

Total Amount is formed as General ($29,725) + Research ($0) + Ownership ($0) = $29,725.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($19,728).

Total Amount

$29,725

General + Research + Ownership

Payments

523

Total payment records

General Amount

$29,725

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2011-10-18

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
I20111018000574INurse PractitionerMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes61362$0
99213Established patient office or other outpatient visit, 20-29 minutes19725$0
View full utilization report →

Insurance plans in this area (ZIP 02129)

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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: 8820992456View full group profile
NameSpecialtyState
Mental Health CounselorCO
Mental Health CounselorMA
P S Y C H I A T R YMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Clinical PsychologistMA
Clinical Social WorkerMA
Clinical PsychologistMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What unique ID ties claims to GEOFFREY WHITLEY (FNP)?
NPI 1083994404 is assigned to GEOFFREY WHITLEY (FNP) under the national enumeration system.
Is GEOFFREY WHITLEY (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GEOFFREY WHITLEY (FNP)?
The page reflects Family Nurse Practitioner for GEOFFREY WHITLEY (FNP). Clinical services aligned with this taxonomy classification.
What location shows for GEOFFREY WHITLEY (FNP)?
We surface Charlestown, Massachusetts for GEOFFREY WHITLEY (FNP) based on available NPPES addresses.
Is GEOFFREY WHITLEY (FNP) a real provider?
This page reflects official NPPES data for NPI 1083994404. Always confirm identity and privileges with the practice and licensing boards.

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