Individual provider Active NPI

Michael Walker

  • Family Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1225615172
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5018326 Issued in NC
Practice address
315 Greenville Blvd SE Ste 100
Greenville, NC 27858-5733
Phone
(252) 917-5621
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10979-33 WI
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 5018326 NC Primary

Addresses

Primary practice location

315 Greenville Blvd SE Ste 100
Greenville, NC 27858-5733

Mailing address

2700 S 48TH St
Milwaukee, WI 53219-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220116000011 WI Practitioner - Nurse Practitioner 9032501457 Reassigns benefits to 1 organization
I20231010002041 NC Practitioner - Nurse Practitioner 9032501457 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians

Practice addresses (Care Compare)

1309 Brentway Ave
Williamston, NC 27892-7593
Phone (843) 322-1933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10979-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Craven County, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 24, 2022 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Jan 24, 2022 Accepting new patients
Fastmed P.C. CurrentSince Feb 27, 2024 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

315 Greenville Blvd SE
Ste 100
Greenville, NC 27858
Phone (252) 917-5621

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

1309 Brentway Ave
Williamston, NC 27892
Phone (252) 362-3660

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Organizations & group practices 8

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1225615172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 S 48TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532193217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GREENVILLE BLVD SE STE 100",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585733",
            "telephone_number": "252-917-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10979-33",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5018326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.