Stephanie Diane Walker, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015023415 Issued in MO

Practice address

1420 S Business 61
Bowling Green, MO 63334

Phone

(573) 324-5562

Fax

(573) 324-2567

NPI assigned

Jul 24, 2015

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swalker@pike.cernerdirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/89787a16-eaf7-491e-bab0-d804157796a5/

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.

• Mercy Aco Clinical Services Inc

  • Neurology Physician
  • Chesterfield, MO
  • NPI 1063965093
  Medicare reassignment Care Compare group NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1124030424
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  • Family Medicine Physician
  • Bowling Green, MO
  • NPI 1962933143
  NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Vandalia, MO
  • NPI 1033578588
  NPD (past)

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1275918856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GEORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532559",
            "telephone_number": "573-754-4584",
            "fax_number": "573-754-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S BUSINESS 61",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "63334",
            "telephone_number": "573-324-5562",
            "fax_number": "573-324-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015023415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swalker@pike.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pike County Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1420 S Business 61",
            "city": "Bowling Green",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor Sprenger
• Dorothy E Stege, MD
• Margaret Linda Teague, LPC
• Upper Room Counseling Services LLC
• Wal-Mart Stores East LP
• Lacy Welch, COTA
• Carrie Ann Wells, LCSW
• Abigail Wheeler, LPTA
• Michael H. Whitlock, D.O.

• Family Nurse Practitioner in Bowling Green, MO
• Providers in Bowling Green, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.