Individual provider Active NPI

Devan R Walker, APRN, FNP-C

  • Family Nurse Practitioner
  • Homer, LA
National Provider Identifier
1487223699
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216274 Issued in AR
Practice address
104 Morris Cir
Homer, LA 71040-2109
Phone
(318) 927-6777
Fax
(318) 927-6714
NPI assigned
Jun 22, 2021
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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 216274 AR Primary

Addresses

Primary practice location

104 Morris Cir
Homer, LA 71040-2109

Mailing address

104 Morris Cir
Homer, LA 71040-2109
Phone (318) 927-6777

Other identifiers 3

IdentifierTypeStateIssuer
216274OtherARSTATE LICENSURE
221817OtherLASTATE LICENSURE
275671758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dwalker@claibornemedical.com Claiborne Memorial Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211004001444 LA Practitioner - Nurse Practitioner 6103224282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216274ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients
Homer Memorial Hospital CurrentSince Sep 1, 2021 Accepting new patients

Locations

926 Frances Dr
Haynesville, LA 71038
Phone (318) 624-0554

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

620 E College St
Homer, LA 71040
Phone (318) 927-2024

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1487223699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MORRIS CIR",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402109",
            "telephone_number": "318-927-6777",
            "fax_number": "318-927-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MORRIS CIR",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710402109",
            "telephone_number": "318-927-6777",
            "fax_number": "318-927-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "DEVAN",
        "middle_name": "R",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "216274",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "221817",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275671758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwalker@claibornemedical.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Claiborne Memorial Medical Center",
            "address_1": "104 Morris Cir",
            "city": "Homer",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710402109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

Verify at the official NPI Registry.