Donna Renee Whalen, NP - Medicare Nurse Practitioner in Albuquerque, NM

Donna Renee Whalen, NP is a medicare enrolled "Nurse Practitioner" in Albuquerque, New Mexico. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southwest Medical Associates, Llc and her current practice location is 8300 Constitution Ave Ne, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 291-2700.

Donna Renee Whalen is licensed to practice in New Mexico (license number 54163) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255806543.

Contact Information

Donna Renee Whalen, NP
8300 Constitution Ave Ne,
Albuquerque, NM 87110-7613
(505) 291-2700
(505) 291-2989

Map and Direction




Provider's Profile

Full NameDonna Renee Whalen
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location8300 Constitution Ave Ne, Albuquerque, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Donna Renee Whalen graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1255806543
  • Provider Enumeration Date: 10/12/2018
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6507103561
  • Enrollment ID: I20190129001835

Medical Identifiers

Medical identifiers for Donna Renee Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255806543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 54163 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lovelace Westside HospitalAlbuquerque, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Medical Associates, Llc7214831114291

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Donna Renee Whalen allows following entities to bill medicare on her behalf.
Entity NameSouthwest Medical Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164491072
PECOS PAC ID: 7214831114
Enrollment ID: O20031121000724

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donna Renee Whalen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Donna Renee Whalen, NP
4420 Irving Blvd Nw,
Albuquerque, NM 87114-5915

Ph: (505) 291-2700
Donna Renee Whalen, NP
8300 Constitution Ave Ne,
Albuquerque, NM 87110-7613

Ph: (505) 291-2700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.