Individual provider Active NPI

Elaine M. Walker, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1417043597
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00001980 Issued in IA
Practice address
7831 E Wrightstown Rd
St 103
Tucson, AZ 85715-4344
Phone
(520) 777-4192
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 00001980 IA Primary
Physician Assistant 363A00000X 5303 AZ
Medical Physician Assistant 363AM0700X PA10004662 WA
Physician Assistant 363A00000X PA153806 OR

Addresses

Primary practice location

7831 E Wrightstown Rd
St 103
Tucson, AZ 85715-4344

Mailing address

213 Mitchell Ave SW
Mitchellville, IA 50169-9748
Phone (520) 603-1787

Other identifiers 1

IdentifierTypeStateIssuer
8432775MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20090414000148 IA Practitioner - Physician Assistant 5991739914 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
QV Urgent Care Ia PLLCGroup PAC ID 1052722147, shared by 7 NPIs, 37 clinicians

Practice addresses (Care Compare)

1817 1St Ave E
Newton, IA 50208-4052
Phone (641) 658-9012

213 W St S
Grinnell, IA 50112-8101
Phone (641) 519-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
00001980IAMDPhysician Assistant
PA153806ORMDPhysician Assistant
PA10004662WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercyone Urgentcare CurrentSince Dec 3, 2023 Accepting new patients
Whispering Palms Medical Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Thurston Emergency Group a Professional LLC Medical Past Accepting new patients
Lewis County Community Health Services Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Prescott Healthcare Solutions LLC Past Accepting new patients

Locations

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741996800000",
    "number": "1417043597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 MITCHELL AVE SW",
            "city": "MITCHELLVILLE",
            "state": "IA",
            "postal_code": "501699748",
            "telephone_number": "520-603-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 E WRIGHTSTOWN RD",
            "address_2": "ST 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154344",
            "telephone_number": "520-777-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ELAINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "00001980",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5303",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004662",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA153806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8432775",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.