Individual provider Active NPI

Heather Marie Walker

  • Nurse Practitioner
  • Wakeman, OH
National Provider Identifier
1306629753
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0034669 Issued in OH
Practice address
56 E Main St
Wakeman, OH 44889-9492
Phone
(216) 470-4057
NPI assigned
Aug 17, 2023
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0034669 OH Primary

Addresses

Primary practice location

56 E Main St
Wakeman, OH 44889-9492

Mailing address

56 E Main St
Wakeman, OH 44889-9492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240119002829 OH Practitioner - Nurse Practitioner 4486006954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Nurse Practitioners of Ohio LLCGroup PAC ID 0840607008, 13 clinicians

Practice addresses (Care Compare)

1055 State Route 125
Cincinnati, OH 45245-2329
Phone (513) 449-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Nurse Practitioners of Ohio LLC Nurse Practitioner CurrentSince Jan 2, 2024 Accepting new patients

Locations

1055 State Route 125
Cincinnati, OH 45245
Phone (513) 449-3900

98 S 30th St
Newark, OH 43055
Phone (740) 344-0303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1306629753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899492",
            "telephone_number": "216-470-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0034669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeman, OH

Sources for this page

Verify at the official NPI Registry.