MARY WHITTENHALL – Gerontology Nurse Practitioner, NPI 1205231081
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,487 NURSE PRACTITIONER in RI
Provider Addresses for MARY WHITTENHALL
17 VIRGINIA AVE
SUITE 107
PROVIDENCE, RI 029054406
Phone: (401) 443-4992
Fax: (401) 784-4902
Type: Mailing
375 WAMPANOAG TRL
SUITE 302B
RIVERSIDE, RI 029152232
Phone: (401) 649-4070
Fax: (401) 649-4071
Type: Location
DEPT 3010, PO BOX 986524
BOSTON, MA 022986524
Phone: (401) 443-4992
Fax: (401) 784-4902
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $10,106.
Total Amount is formed as General ($10,106) + Research ($0) + Ownership ($0) = $10,106.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: United Therapeutics Corporation ($4,307).
Total Amount
$10,106
General + Research + Ownership
Payments
40
Total payment records
General Amount
$10,106
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| United Therapeutics Corporation | $4,307 |
| Actelion Pharmaceuticals US, Inc. | $3,398 |
| Merck Sharp & Dohme LLC | $2,177 |
| Bayer Healthcare Pharmaceuticals Inc. | $200 |
| Sandoz Inc. | $24 |
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: 2025-04-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20141218001083 | I | Nurse Practitioner | RI | TBD |
| I20250423001994 | I | Nurse Practitioner | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 73 | 33 | $0 |
Insurance plans in this area (ZIP 02905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | RI | |
| Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | RI |
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