Individual provider Active NPI

Brian S Walters, NP

  • Family Nurse Practitioner
  • Rostraver TWP, PA
National Provider Identifier
1386912947
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011695 Issued in PA
Practice address
800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019
Phone
(724) 379-5802
Fax
(724) 823-0286
NPI assigned
Dec 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP011695 PA Primary

Addresses

Primary practice location

800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019

Mailing address

800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019
Phone (724) 379-5802

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171218002360 PA Practitioner - Nurse Practitioner 0547550675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monvale Orthopedics IncGroup PAC ID 3173518529, 10 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, 41 clinicians

Practice addresses (Care Compare)

1145 Bower Hill Rd
Suite 301
Pittsburgh, PA 15243-1348
Phone (412) 276-7022

800 Plaza Dr
Suite 400
Rostraver Township, PA 15012-4019
Phone (724) 379-5802

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Vale Orthopedic Group, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Monvale Orthopedics, Inc. CurrentSince Dec 1, 2020 Accepting new patients

Locations

401 E Murphy Ave
Ste 4
Connellsville, PA 15425

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1145 Bower Hill Rd
Ste 301
Pittsburgh, PA 15243
Phone (412) 276-7022

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1386912947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802",
            "fax_number": "724-823-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802",
            "fax_number": "724-823-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "BRIAN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver TWP, PA

Sources for this page

Verify at the official NPI Registry.