Individual provider Active NPI

Nicole Walker, DO

  • General Practice Physician
  • Walled Lake, MI
National Provider Identifier
1023678448
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101026831 Issued in MI
Practice address
1340 S Commerce Rd
Walled Lake, MI 48390-3010
Phone
(248) 438-6600
NPI assigned
Jun 18, 2019
Last updated
May 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607000942 MI Practitioner - General Practice 2466787155 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Get Well Urgent Care Shelby PLCGroup PAC ID 0749646412, 16 clinicians
Get Well Urgent Care Macomb PLCGroup PAC ID 6204232176, 19 clinicians
Get Well Urgent Care Downriver PLCGroup PAC ID 5193061992, 19 clinicians
Get Well Urgent Care Harper Woods PLCGroup PAC ID 5698145506, 14 clinicians
Get Well Urgent Care Taylor PLCGroup PAC ID 4385011329, 14 clinicians
Roseville Urgent Care PCGroup PAC ID 8921281361, 21 clinicians
Get Well Urgent Care Madison Heights PLCGroup PAC ID 1052670882, 22 clinicians
Get Well Urgent Care Pontiac PLCGroup PAC ID 2961872726, 16 clinicians

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

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5151013788GAMDObstetrics & Gynecology Physician
5101026831MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Shelby PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Macomb PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Woodhaven, PLC CurrentSince May 1, 2023 Accepting new patients
Get Well Urgent Care Southgate PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Madison Heights PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Downriver PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Harper Woods PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Taylor PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Pontiac PLC CurrentSince Apr 22, 2024 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Apr 22, 2024 Accepting new patients
Southfield City Urgent Care PC CurrentSince Apr 22, 2024 Accepting new patients
Roseville Urgent Care, PC CurrentSince Apr 22, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Dearborn Heights PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Sterling Heights PLC CurrentSince Apr 22, 2024 Accepting new patients
Get Well Urgent Care Dearborn PLC CurrentSince Apr 22, 2024 Accepting new patients
Garg and Associates Inc General Practice Past Accepting new patients
Harper Woods Urgent Care and Medical Center PLLC PastSince Jul 7, 2019 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

  • FHIR API: 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.

View all 18

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

Verify at the official NPI Registry.