Active NPI
Nicole Walker, DO
- General Practice Physician
- Walled Lake, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5101026831
- Practice address
- 1340 S Commerce Rd
Walled Lake, MI 48390-3010 - Phone
- (248) 438-6600
- NPI assigned
- Jun 18, 2019
- Last updated
- May 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5151013788 | GA | |
| General Practice Physician | 208D00000X | 5101026831 | MI | Primary |
Addresses
Primary practice location
1340 S Commerce Rd
Walled Lake, MI 48390-3010
Mailing address
2800 Welch Rd
Commerce Township, MI 48390-4309
Phone (706) 988-2434
Other practice location 1
Medical Education OBGYN
1 Genesys Parkway
Grand Blanc, MI 48434
Phone (706) 988-2434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
13467 23 Mile Rd
Shelby Township, MI 48315-2717
Phone (586) 884-7400
15945 19 Mile Rd
Suite 102
Clinton TWP, MI 48038-1147
Phone (586) 431-9100
1770 Fort St
Lincoln Park, MI 48146-1904
Phone (313) 466-4000
19959 Vernier Rd
Suite 400
Harper Woods, MI 48225-1423
Phone (313) 499-1951
20202 Eureka Rd
Taylor, MI 48180-5317
Phone (734) 589-1300
20769 E 13 Mile Rd
Roseville, MI 48066-4503
Phone (586) 872-2288
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone (248) 206-3797
983 Orchard Lake Rd
Pontiac, MI 48341-2785
Phone (248) 900-9970
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013788 | GA | MD | Obstetrics & Gynecology Physician |
| 5101026831 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Well Urgent Care Shelby PLC | Current | Accepting new patients | |
| Get Well Urgent Care Macomb PLC | Current | Accepting new patients | |
| Get Well Urgent Care Woodhaven, PLC | Current | Accepting new patients | |
| Get Well Urgent Care Southgate PLC | Current | Accepting new patients | |
| Get Well Urgent Care Madison Heights PLC | Current | Accepting new patients | |
| Get Well Urgent Care Downriver PLC | Current | Accepting new patients | |
| Get Well Urgent Care Harper Woods PLC | Current | Accepting new patients | |
| Get Well Urgent Care Taylor PLC | Current | Accepting new patients | |
| Get Well Urgent Care Pontiac PLC | Current | Accepting new patients | |
| Oak Park Urgent Care PLLC | Current | Accepting new patients | |
| Southfield City Urgent Care PC | Current | Accepting new patients | |
| Roseville Urgent Care, PC | Current | Accepting new patients | |
| Hoover Urgent Care of Warren PLLC | Current | Accepting new patients | |
| Get Well Urgent Care Dearborn Heights PLC | Current | Accepting new patients | |
| Get Well Urgent Care Sterling Heights PLC | Current | Accepting new patients | |
| Get Well Urgent Care Dearborn PLC | Current | Accepting new patients | |
| Garg and Associates Inc | General Practice | Past | Accepting new patients |
| Harper Woods Urgent Care and Medical Center PLLC | Past | Accepting new patients |
Locations
15945 19 Mile Rd
Ste 102
Clinton Twp, MI 48038
Phone (586) 413-9100
13244 W Warren Ave
Dearborn, MI 48126
Phone (313) 380-1200
24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000
19335 Grand River Ave
Detroit, MI 48223
Phone (313) 794-8780
19959 Vernier Rd
Ste 400
Harper Woods, MI 48225
Phone (313) 499-1951
1770 Fort St
Lincoln Park, MI 48146
Phone (313) 406-4413
350 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 206-3797
24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000
20769 E 13 Mile Rd
Roseville, MI 48066
Phone (586) 294-7070
13467 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 267-5040
23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089
15830 Fort St
Southgate, MI 48195
Phone (734) 282-5444
2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000
20202 Eureka Rd
Taylor, MI 48180
Phone (734) 589-1300
1340 S Commerce Rd
Walled Lake, MI 48390
Phone (248) 438-6600
26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707
21090 Allen Rd
Woodhaven, MI 48183
Phone (734) 282-1800
Interoperability endpoints
- https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Lincoln Park, MI
- NPI 1578035317
-
- Urgent Care Clinic/Center
- Harper Woods, MI
- NPI 1609585025
-
- Urgent Care Clinic/Center
- Clinton TWP, MI
- NPI 1073289013
-
- Urgent Care Clinic/Center
- Madison Heights, MI
- NPI 1295240307
-
- Urgent Care Clinic/Center
- Pontiac, MI
- NPI 1740999077
-
- Urgent Care Clinic/Center
- Shelby Township, MI
- NPI 1033865464
-
- Urgent Care Clinic/Center
- Taylor, MI
- NPI 1689320012
-
- Urgent Care Clinic/Center
- Roseville, MI
- NPI 1811297070
-
- Urgent Care Clinic/Center
- Dearborn Heights, MI
- NPI 1871204578
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1942936307
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1235722430
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1891381232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1023678448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 WELCH RD",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483904309",
"telephone_number": "706-988-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 S COMMERCE RD",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903010",
"telephone_number": "248-438-6600"
}
],
"practiceLocations": [
{
"address_1": "MEDICAL EDUCATION OBGYN",
"address_2": "1 GENESYS PARKWAY",
"address_purpose": "LOCATION",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "48434",
"country_code": "US",
"telephone_number": "706-988-2434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "5151013788",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101026831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walled Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.