Individual provider Active NPI

Mark W. Walker, FNP-C

  • Family Nurse Practitioner
  • Naturita, CO
National Provider Identifier
1376807040
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
C-APN.0992626-C-NP Issued in CO
Practice address
421 Adams St
Naturita, CO 81422-5018
Phone
(970) 865-2665
Fax
(970) 865-2674
NPI assigned
Jun 27, 2012
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 564634 TX
Family Nurse Practitioner 363LF0000X C-APN.0992626-C-NP CO Primary

Addresses

Primary practice location

421 Adams St
Naturita, CO 81422-5018

Mailing address

PO Box 340
Naturita, CO 81422-0340
Phone (970) 865-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120831000066 TX Practitioner - Nurse Practitioner 3577710227 Reassigns benefits to 1 organization
I20230227000788 CO Practitioner - Nurse Practitioner 3577710227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588

1922 State Hwy 46 W
New Braunfels, TX 78132-5245
Phone (830) 632-5092

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

2530 SW Military Dr
San Antonio, TX 78224-1020
Phone (210) 476-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0992626-C-NPCOMDFamily Nurse Practitioner
564634TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group, PLLC CurrentSince Jul 1, 2025 Accepting new patients
TMC Provider Group PLLC CurrentSince Jul 1, 2025 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Basin Clinic Inc CurrentSince Oct 1, 2024 Accepting new patients
Mountain Radiology, Inc PastSince Oct 1, 2024 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22466/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1376807040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "NATURITA",
            "state": "CO",
            "postal_code": "814220340",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 ADAMS ST",
            "city": "NATURITA",
            "state": "CO",
            "postal_code": "814225018",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "564634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0992626-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naturita, CO

Sources for this page

Verify at the official NPI Registry.