ANDIE RENEE WHALEN (PA-C) – Medical Physician Assistant, NPI 1710554894

ANDIE RENEE WHALEN (PA-C) is a healthcare provider. based in Copperas cove, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ANDIE RENEE WHALEN (PA-C) is 1710554894

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANDIE RENEE WHALEN (PA-C)
NPI
1710554894
Phone
(254) 577-5642
Address
3010 E BUSINESS 190 STE 254
Enumeration Date
8 June 2021
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805314700
Graduation Year
2021 (5 years ago)
PAC ID
6901200492
Group Practice PAC ID
2163863341
Professional Enrollment ID
I20230711003192
Address ID
OK735059635LA5602XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for ANDIE RENEE WHALEN (PA-C)

  • 3010 E BUSINESS 190 STE 254

    COPPERAS COVE, TX 765222517

    Phone: (254) 577-5642

    Type: Mailing

  • 1511 WILDRIDGE DR

    HARKER HEIGHTS, TX 765481584

    Phone: (405) 513-0090

    Type: Mailing

  • 7010 W ADAMS AVE

    TEMPLE, TX 765025550

    Phone: (254) 228-1200

    Type: Location

  • 800 NE 10TH ST

    OKLAHOMA CITY, OK 731045418

    Phone: (405) 271-4700

    Type: Mailing

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Medtronic, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$15
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: 2023-07-11

PECOS data refreshed: 2026-06-15

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
I20230711003192IPhysician AssistantOKTBD

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 minutes8781$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3131$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
81003Automated urinalysis test2020$0
87502Detection test by nucleic acid for multiple types influenza virus1212$0
View full utilization report →

Insurance plans in this area (ZIP 76522)

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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: 2163863341View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerOK
Family Practice, HospitalistAR
Nurse PractitionerOK
Nurse PractitionerOK
Hospitalist, Internal Medicine, HospitalistOK
Emergency Medicine, Internal MedicineIL
Internal Medicine, HospitalistTX
Nurse PractitionerFL
Nurse PractitionerOK

Reviews

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Frequently asked questions

What federal number belongs to ANDIE RENEE WHALEN (PA-C)?
The federal identifier for ANDIE RENEE WHALEN (PA-C) is NPI 1710554894.
Does this profile mean ANDIE RENEE WHALEN (PA-C) is currently active?
Yes — ANDIE RENEE WHALEN (PA-C) appears active in the national provider directory.
What field does ANDIE RENEE WHALEN (PA-C) work in?
You can think of ANDIE RENEE WHALEN (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDIE RENEE WHALEN (PA-C)?
The page summarizes Copperas Cove, Texas for ANDIE RENEE WHALEN (PA-C); expand the address list for detail.
Is ANDIE RENEE WHALEN (PA-C) a real provider?
This page reflects official NPPES data for NPI 1710554894. Always confirm identity and privileges with the practice and licensing boards.

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