Active NPI
Walter Edward Stratton, PA-C
- Physician Assistant
- Tamuning, GU
National Provider Identifier
1124089867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 548 South Marine Corps Drive
Tamuning, GU 96913 - Phone
- (671) 646-5824
- Fax
- (671) 647-3546
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
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.
-
- Community Based Hospice Care Agency
- Tamuning, GU
- NPI 1497859565
-
- Home Health Agency
- Tamuning, GU
- NPI 1700979713
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Takecare Insurance Company Inc
Practice addresses (Care Compare)
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512001361 | GU | Practitioner - Physician Assistant | 5698765758 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Takecare Insurance Company Inc. | Current | Accepting new patients |
Locations
548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | GU | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
548 South Marine Corps Drive
Tamuning, GU 96913
Mailing address
PO Box 6578
Tamuning, GU 96931-6578
Phone (671) 646-6956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2026.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124089867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6578",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969316578",
"telephone_number": "671-646-6956",
"fax_number": "671-647-3546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "548 SOUTH MARINE CORPS DRIVE",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-646-5824",
"fax_number": "671-647-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATTON",
"first_name": "WALTER",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.