Individual provider Active NPI

Donald Francis Walpole, FNP-C

  • Family Nurse Practitioner
  • Parker, AZ
National Provider Identifier
1083452858
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
310154 Issued in AZ
Practice address
1200 W Mohave Rd
Parker, AZ 85344-6349
Phone
(928) 669-9201
NPI assigned
Jul 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 310154 AZ Primary

Addresses

Primary practice location

1200 W Mohave Rd
Parker, AZ 85344-6349

Mailing address

8502 E Kiowa Ave
Mesa, AZ 85209-5201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240828003479 AZ Practitioner - Nurse Practitioner 6507305000 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310154AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc CurrentSince Aug 1, 2024 Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
La Paz Regional Hospital Inc CurrentSince Aug 1, 2024 Accepting new patients
La Paz Regional Hospital, Inc. Past Accepting new patients

Locations

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

Interoperability endpoints

  • Direct secure messaging: donaldwalpole@lprh.medalliesdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1083452858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 E KIOWA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MOHAVE RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853446349",
            "telephone_number": "928-669-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALPOLE",
        "first_name": "DONALD",
        "middle_name": "FRANCIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "310154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.