Alicia C. Walter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA058114 Issued in PA

Practice address

216 Mall Blvd Ste 101
King of Prussia, PA 19406-2923

Phone

(215) 390-1449

NPI assigned

Nov 22, 2013

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

Other names 1

• Alicia C. Kilpatrick Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zitelli and Brodland PCGroup PAC ID 4284622978, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alicia.walter@qdp.emadirect.md

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.

• Zitelli & Brodland PC

  • MOHS-Micrographic Surgery Physician
  • Pittsburgh, PA
  • NPI 1184790099
  Medicare reassignment Care Compare group NPD
• Keystone Dermatology Partners, LLC

  • Dermatology Physician
  • King of Prussia, PA
  • NPI 1801329552
  Medicare reassignment
• Zitelli & Brodland PC

  dba zitelli & brodland asf south

  • Ambulatory Surgical Clinic/Center
  • Clairton, PA
  • NPI 1952312399
  NPD (past)
• Englert Dermatology, LLC

  dba North Baltimore Dermatology

  • Dermatology Physician
  • Sparks, MD
  • NPI 1619066206
  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1346670619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 WALNUT ST",
            "address_2": "STE 1101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023621",
            "telephone_number": "410-472-0900",
            "fax_number": "410-472-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MALL BLVD STE 101",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062923",
            "telephone_number": "215-390-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "ALICIA",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "KILPATRICK",
            "middle_name": "C.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Wallace
• Rose Walley, RBT
• Zeena Walls
• Walnut Home Therapeutics, Inc (Jefferson Home Infusion Service and Jefferson Specialty Pharmacy)
• Megan Walsh, MS, BCBA
• Oliver Wang
• Yuhan Wang
• Alicia B Waranis
• Warby Parker Inc.
• Allison Louise Ward

• Physician Assistant in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.