NPIMap

Individual provider Active NPI

Kelly Mason Walker, DNP, FNP

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1477074003
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
126136 Issued in MT
Practice address
359 N Main St Ste 6
Kalispell, MT 59901-3902
Phone
(406) 200-8564
Fax
(833) 992-0845
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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 126136 MT Primary

Addresses

Primary practice location

359 N Main St Ste 6
Kalispell, MT 59901-3902

Mailing address

PO Box 8684
Kalispell, MT 59904-1684
Phone (406) 200-8564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kelly.walker.1@21975.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170804001863 MT Practitioner - Nurse Practitioner 8527339837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

359 N Main St
Suite 6
Kalispell, MT 59901-3902
Phone (406) 200-8564

Hospital & facility affiliations

  • Logan Health Home Care Home health agency, Kalispell, MT, CCN 277053
  • Enhabit Home Health Home health agency, Helena, MT, CCN 277017
  • Granite Peak Home Health Home health agency, Miles City, MT, CCN 277079
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126136MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Wellness LLC CurrentSince Jan 6, 2021 Accepting new patients

Locations

359 N Main St
Ste 6
Kalispell, MT 59901
Phone (406) 200-8564

110 E 2nd St
Whitefish, MT 59937
Phone (406) 200-8564

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21975/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kelly.walker.1@21975.direct.athenahealth.com

Organizations & group practices 1

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 11

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1477074003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8684",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599041684",
            "telephone_number": "406-200-8564",
            "fax_number": "406-283-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N MAIN ST STE 6",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013902",
            "telephone_number": "406-200-8564",
            "fax_number": "833-992-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KELLY",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "126136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.walker.1@21975.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "359 N Main St Ste 6",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.