Individual provider Active NPI

Melissa Ann Walker, PA

  • Physician Assistant
  • Del City, OK
National Provider Identifier
1053800268
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5472 Main St Ste 101
Del City, OK 73115-5524
Phone
(405) 622-3699
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5472 Main St Ste 101
Del City, OK 73115-5524

Mailing address

PO Box 108809
Oklahoma City, OK 73101-8809
Phone (405) 622-3699

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Melissa.Walker@35659640274948.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20180828003004 OK Practitioner - Physician Assistant 4183973977 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians
Icare Center LLCGroup PAC ID 0840555777, 28 clinicians
PsychplusGroup PAC ID 9234547548, 10 clinicians

Practice addresses (Care Compare)

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

2903 W Britton Rd
Oklahoma City, OK 73120-4433
Phone (405) 849-4650

4220 N Classen Blvd
Suite F
Oklahoma City, OK 73118-2416
Phone (405) 259-2333

4400 Grant Blvd
Yukon, OK 73099-0037
Phone (405) 787-8550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2921OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Primary & Wellness Clinic LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.walker@35659640274948.direct.elationemr.com

Organizations & group practices 6

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 1

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1053800268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731018809",
            "telephone_number": "405-622-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 MAIN ST STE 101",
            "city": "DEL CITY",
            "state": "OK",
            "postal_code": "731155524",
            "telephone_number": "405-622-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melissa.Walker@35659640274948.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "5472 Main St Ste 101",
            "city": "Del City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731155524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Del City, OK

Sources for this page

Verify at the official NPI Registry.