NPIMap

Individual provider Active NPI

Kalila Nicole Walters, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1124466644
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004216 Issued in VA
Practice address
2205 N Parham Rd
Richmond, VA 23229-3161
Phone
(804) 270-2150
NPI assigned
Jun 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0005035 MD
Physician Assistant 363A00000X 0110004216 VA Primary

Addresses

Primary practice location

2205 N Parham Rd
Richmond, VA 23229-3161

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone (443) 573-0564

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirstclinics.com Health Information Exchange (HIE)
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160406001701 MD Practitioner - Physician Assistant 1850699927 Reassigns benefits to 1 organization
I20170216001919 DC Practitioner - Physician Assistant 1850699927 Reassigns benefits to 2 organizations
I20250205001966 VA Practitioner - Physician Assistant 1850699927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Howard University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, 258 clinicians
Patient First Richmond Medical Group PLLCGroup PAC ID 9931011434, 315 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

11020 Hull St Rd
Midlothian, VA 23112-3200
Phone (804) 744-6310

12 N Thompson St
Richmond, VA 23221-2718
Phone (804) 359-1337

12101 S Chalkley Rd
Chester, VA 23831-3755
Phone (804) 796-3636

1260 Temple Ave
Colonial Heights, VA 23834-2984
Phone (804) 518-2597

2205 N Parham Rd
Richmond, VA 23229-3161
Phone (804) 270-2150

3370 Pump Rd
Richmond, VA 23233-1130
Phone (804) 360-8061

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6201 Annapolis Rd
Landover Hills, MD 20784-1307
Phone (301) 276-3377

7238 Mechanicsville Tpke
Mechanicsville, VA 23111-3502
Phone (804) 559-9900

726 Rockville Pike
Rockville, MD 20852-1133
Phone (240) 238-0411

8110 Midlothian Tpke
North Chesterfield, VA 23235-5116
Phone (804) 320-8160

Hospital & facility affiliations

  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0005035MDMDPhysician Assistant
0110004216VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jan 31, 2025 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 4, 2016 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 4, 2016 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jan 31, 2025 Accepting new patients
MNR Industries, LLC CurrentSince Feb 16, 2016 Accepting new patients
Patient First Maryland Medical Group, PLLC Current Accepting new patients
MNR Industries, LLC CurrentSince Feb 16, 2016 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Dec 4, 2016 Accepting new patients
MNR Industries LLC Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

8105 Ritchie Hwy
Pasadena, MD 21122
Phone (443) 573-0564

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

2205 N Parham Rd
Richmond, VA 23229
Phone (804) 270-2150

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com
  • Direct secure messaging: mdexchange@patientfirstclinics.com

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 11

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1124466644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293161",
            "telephone_number": "804-270-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8105 Ritchie Hwy",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "MD",
            "postal_code": "211223905",
            "country_code": "US",
            "telephone_number": "443-573-0564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "KALILA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005035",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8105 Ritchie Hwy",
            "city": "Pasadena",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211223905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2205 N Parham Rd",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232293161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.