Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Whalen, AGACNP-C

Individual provider Acute Care Nurse Practitioner · NPI 1225846728

Kelly Whalen, AGACNP-C is a Nurse Practitioner in Roslyn, New York. Qualified in 2024, 2 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024

Practice location Address checks out

100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone: (516) 562-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence F433162-01 (NY)

Record details

NPI number1225846728
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-C
Sole proprietorNo
NPI enumeratedDecember 30, 2024
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roslyn