Chad A Walters, PA-C
Individual provider Active NPI Medical Physician Assistant · Abilene, TX
NPI 1467459396 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1467459396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA13380 (TX)
- Practice address
- 1309 Hickory St
Abilene, TX 79601-3509 - Phone
- (325) 480-9280
- Fax
- (325) 673-0856
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Haskell County Hospital
Hendrick Provider Network
West Texas Urgent Care LLC
Practice addresses (Care Compare)
1 Ave N
Haskell, TX 79521-5415
Phone 9402284321305
1900 Pine St
Abilene, TX 79601-2432
1904 Pine St
Abilene, TX 79601-2450
4438 S Clack St
Abilene, TX 79606-3634
Hospital & facility affiliations
- Hendrick Medical Center
- Haskell Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.51 of 100
- Quality
- 63.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200212002109 | TX | Practitioner - Physician Assistant | 2062848914 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1150108 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haskell County Hospital | Current |
Accepting new patients | |
| Haskell County Hospital | Current |
Accepting new patients | |
| West Texas Urgent Care LLC | Current |
Accepting new patients | |
| Family Medicine of Abilene PA | Current |
Accepting new patients | |
| Haskell County Hospital | Current |
Accepting new patients | |
| Hendrick Provider Network | Current |
Accepting new patients | |
| West Texas Urgent Care LLC | Past | Accepting new patients |
Locations
1633 Cottonwood St
Abilene, TX 79601
Phone (325) 672-4372
1309 Hickory St
Abilene, TX 79601
Phone (325) 480-9280
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
4438 S Clack St
Ste 200
Abilene, TX 79606
Phone (325) 704-4470
203 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2023
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601
1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321
7571 State Highway 153
Winters, TX 79567
Phone (325) 754-1317
Interoperability endpoints
- chad.walters.p3@direct.abileneboneandjoint.nextgenshare.com
- chad.walters.2@3893.direct.athenahealth.com
- https://api.platform.athenahealth.com/3893/brand/1/csg/1/fhir/r4
- chad.walters.p1@direct.abileneboneandjoint.nextgenshare.com
- chad.walters.1@21794.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1150108 | TX | |
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | PA13380 | TX | Yes |
Addresses
Primary practice location
1309 Hickory St
Abilene, TX 79601-3509
Mailing address
1309 Hickory St
Abilene, TX 79601-3509
Phone (325) 480-9280
Other practice location 1
1633 Cottonwood St
Abilene, TX 79601-3033
Phone (325) 067-2437
Other providers in Abilene, TX
- Jason Waller
- Donna Jo Walls
- Larry Wayne Walls
- Valentina Walls
- Elanore Walsh
- Jill Anne Walters
- Troy Walters
- Saydie Nicole Wammack
- Amanda Ward
- Carol Ann Warren
All providers in Abilene, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.