Annabel Walter

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00832000 Issued in NJ

Practice address

651 Willow Grove St
Hackettstown, NJ 07840-1799

Phone

(908) 852-5100

NPI assigned

Jan 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians

Newton Emergency Medical Associates LLCGroup PAC ID 3678735057, 31 clinicians

Hackettstown Emergency Medical Associates, LLCGroup PAC ID 4688998990, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newton Medical Center Hospital, Newton, NJ, CCN 310028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awalter96648@direct.ahsys.org

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

• Hackettstown Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Hackettstown, NJ
  • NPI 1558768473
  Medicare reassignment Care Compare group
• Newton Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Newton, NJ
  • NPI 1306118344
  Medicare reassignment Care Compare group
• The Radiology Group of New Jersey, LLC

  dba The Medical Group of New Jersey

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  Medicare reassignment Care Compare group
• Morristown Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Freehold, NJ
  • NPI 1649541087

  Physician Assistant

  Medicare reassignment NPD
• DRX Paramus, LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1316272685
  Medicare reassignment

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

• Ahs Hospital Corp

  dba Newton Medical Center

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  Care Compare affiliation

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1174394563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 FAWNWOOD DR",
            "city": "MILFORD",
            "state": "NJ",
            "postal_code": "088481204",
            "telephone_number": "973-462-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WILLOW GROVE ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401799",
            "telephone_number": "908-852-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Cedar Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "NJ",
            "postal_code": "088736462",
            "country_code": "US",
            "telephone_number": "732-307-8886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ANNABEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00832000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W Dental LLC
• Glen Paul Wainen, MD
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2503)
• Wal-Mart Stores East, LP (Vision Center 30-2503)
• Walgreen Co (Walgreens #09249)
• Warren County Play Therapy, LLC
• Warren Primary Care Center, LLC
• Needa Waseem, DDS
• Wendelyn Lee Waters, M.D.
• Helena Weingarten

• Physician Assistant in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.

Verify at the official NPI Registry.