Active NPI
Michelle Marie Walker, CPNP
- Nurse Practitioner
- Wooster, OH
National Provider Identifier
1346540374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.111594
- Practice address
- 3807 Friendsville Rd
Wooster, OH 44691-9601 - Phone
- (330) 345-1100
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NP-11594 | OH | |
| Nurse Practitioner | 363L00000X | APRN.CNP.111594 | OH | Primary |
Addresses
Primary practice location
3807 Friendsville Rd
Wooster, OH 44691-9601
Mailing address
1045 W High Ave
New Philadelphia, OH 44663-2071
Phone (330) 308-5432
Other practice location 1
1045 W High Ave
New Philadelphia, OH 44663-2071
Phone (330) 308-5432
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140619001665 | OH | Order and Referring Only - Nurse Practitioner | 5597989277 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.111594 | OH | MD | Nurse Practitioner |
| NP-11594 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Past | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Past | Accepting new patients |
Interoperability endpoints
- mwalker103167@direct.chmca.org
Organizations & group practices 3
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.
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1346540374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W HIGH AVE",
"city": "NEW PHILADELPHIA",
"state": "OH",
"postal_code": "446632071",
"telephone_number": "330-308-5432",
"fax_number": "330-339-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 FRIENDSVILLE RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446919601",
"telephone_number": "330-345-1100"
}
],
"practiceLocations": [
{
"address_1": "1045 W High Ave",
"address_purpose": "LOCATION",
"city": "New Philadelphia",
"state": "OH",
"postal_code": "446632071",
"country_code": "US",
"telephone_number": "330-308-5432",
"fax_number": "330-339-5912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "NP-11594",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.111594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.