NPIMap

Individual provider Active NPI

Walter Donald Myer, CRNP

  • Family Nurse Practitioner
  • Lexington, SC
National Provider Identifier
1467964072
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018698 Issued in PA
Practice address
1071 S Lake Dr
Lexington, SC 29073-3719
Phone
(803) 957-0605
NPI assigned
Nov 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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 SP018698 PA Primary
Registered Nurse 163W00000X RN588845 PA

Addresses

Primary practice location

1071 S Lake Dr
Lexington, SC 29073-3719

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

12 St Paul Dr Ste 204
Chambersburg, PA 17201-1035
Phone (717) 217-6886

Other practice location 2

450 S Washington St Ste A
Gettysburg, PA 17325-2500
Phone (717) 339-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CO, MO3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180427000956 PA Practitioner - Nurse Practitioner 3072877083 Reassigns benefits to 1 organization
I20240415001499 CO Practitioner - Nurse Practitioner 3072877083 Reassigns benefits to 1 organization
I20250416002785 MO Practitioner - Nurse Practitioner 3072877083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

12 St Paul Dr
Suite 204
Chambersburg, PA 17201-1035
Phone (717) 217-6886

1235 E Cherokee St
2C SPRG Cardiothoracic Surgery Heart
Springfield, MO 65804-2203
Phone (417) 820-3960

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN588845PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Feb 9, 2026 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Apr 7, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 7, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 8, 2025 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 1, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Current Accepting new patients
Wellspan Medical Group Current Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1235 E Cherokee St
Ste 2C
Springfield, MO 65804
Phone (417) 820-3919

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Ste 2D
Springfield, MO 65804

12 St Paul Dr
Ste 204
Chambersburg, PA 17201
Phone (717) 217-6886

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: wmyer19099@wellspan.direct-ci.com

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1467964072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290733719",
            "telephone_number": "803-957-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 St Paul Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St Ste A",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-339-3105",
            "fax_number": "717-798-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYER",
        "first_name": "WALTER",
        "middle_name": "DONALD",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-05",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018698",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN588845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.