Heather Marie Walker

Individual provider Active NPI Nurse Practitioner · Wakeman, OH

NPI 1306629753 · NPPES record last updated Dec 21, 2023

Key facts

NPI
1306629753
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
APRN.CNP.0034669 (OH)
Practice address
56 E Main St
Wakeman, OH 44889-9492
Phone
(216) 470-4057
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

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 LLC (13 clinicians)

Practice addresses (Care Compare)

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034669OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Nurse Practitioners of Ohio LLC Nurse Practitioner Current
since 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

Specialties & licenses

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

Addresses

Primary practice location

56 E Main St
Wakeman, OH 44889-9492

Mailing address

56 E Main St
Wakeman, OH 44889-9492

Other providers in Wakeman, OH

All providers in Wakeman, OH · Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.