Individual provider Active NPI

Debbie Lee Walker, APRN, FNP-C

  • Family Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1043863418
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025108 Issued in OH
Practice address
835 McKay CT Ste 100
Boardman, OH 44512-5786
Phone
(330) 729-8970
Fax
(330) 729-8971
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN.CNP.025108 OH
Family Medicine Physician 207Q00000X SP020630 PA
Family Nurse Practitioner 363LF0000X APRN.CNP.025108 OH Primary

Addresses

Primary practice location

835 McKay CT Ste 100
Boardman, OH 44512-5786

Mailing address

835 McKay CT Ste 100
Boardman, OH 44512-5786
Phone (330) 729-8970

Other practice location 1

4139 Boardman Canfield Rd
Canfield, OH 44406-9034
Phone (330) 702-1281

Other practice location 2

80 E Silver St
Sharon, PA 16146-1546
Phone (844) 456-5433

Other identifiers 1

IdentifierTypeStateIssuer
0411459MedicaidOH

Other names 1

  • Debbie Lee Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416000686 OH Practitioner - Nurse Practitioner 4981034857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown Specialty Care LLCGroup PAC ID 3476950296, 463 clinicians

Practice addresses (Care Compare)

835 McKay CT
Suite 100
Boardman, OH 44512-5786
Phone (330) 758-4399

Hospital & facility affiliations

  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025108OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown LLC CurrentSince Nov 15, 2021 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine Current Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

835 McKay Ct
Ste 100
Youngstown, OH 44512
Phone (330) 758-4399

Interoperability endpoints

  • Direct secure messaging: dwalker245528@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1043863418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 MCKAY CT STE 100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125786",
            "telephone_number": "330-729-8970",
            "fax_number": "330-729-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 MCKAY CT STE 100",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125786",
            "telephone_number": "330-729-8970",
            "fax_number": "330-729-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4139 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069034",
            "country_code": "US",
            "telephone_number": "330-702-1281",
            "fax_number": "330-702-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 E Silver St",
            "address_purpose": "LOCATION",
            "city": "Sharon",
            "state": "PA",
            "postal_code": "161461546",
            "country_code": "US",
            "telephone_number": "844-456-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DEBBIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "APRN.CNP.025108",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP020630",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "WILSON",
            "middle_name": "LEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.