Individual provider Active NPI

Claire Marie Walker, CNM

  • Advanced Practice Midwife
  • Granger, IN
National Provider Identifier
1457860801
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000299A Issued in IN
Practice address
50641 Weeping Willow Run E
Granger, IN 46530-8751
Phone
(269) 340-0686
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 4704385581 MI
Advanced Practice Midwife 367A00000X 09000299A IN Primary

Addresses

Primary practice location

50641 Weeping Willow Run E
Granger, IN 46530-8751

Mailing address

50641 Weeping Willow Run E
Granger, IN 46530-8751
Phone (630) 408-6468

Other practice location 1

1910 Bond St
Niles, MI 49120-4049
Phone (269) 340-0686

Other identifiers 3

IdentifierTypeStateIssuer
178420025OtherINMEDICARE PTAN
236040246OtherINMEDICARE PTAN
300007491MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WALKER@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171103000448 IN Practitioner - Certified Nurse Midwife (CNM) 6507122793 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
09000299AINMDAdvanced Practice Midwife
4704385581MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Candescent Health and Wellness, LLC Advanced Practice Midwife CurrentSince Jul 3, 2022 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc CurrentSince Mar 10, 2020 Accepting new patients
Healthlinc, Inc. CurrentSince Mar 10, 2020 Accepting new patients

Locations

420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300

2104 Ironwood Cir
South Bend, IN 46635
Phone (574) 247-4682

621 Memorial Dr
Ste 403
South Bend, IN 46601
Phone (574) 232-4800

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26234/brand/1/csg/1/fhir/r4
  • Direct secure messaging: claire.walker.1@26234.direct.athenahealth.com
  • Direct secure messaging: walker@mybeacon.cernerdirect.com
  • Direct secure messaging: clairewalker@beacon.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457860801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50641 WEEPING WILLOW RUN E",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308751",
            "telephone_number": "630-408-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50641 WEEPING WILLOW RUN E",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308751",
            "telephone_number": "269-340-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Bond St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204049",
            "country_code": "US",
            "telephone_number": "269-340-0686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CLAIRE",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704385581",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000299A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "178420025",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "236040246",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300007491",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WALKER@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "621 Memorial Dr Ste 403",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466011074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

Verify at the official NPI Registry.