Connie Walker

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R207755 Issued in MD

Practice address

72 Greene St
Cumberland, MD 21502-2933

Phone

(301) 682-2041

Fax

(301) 732-6295

NPI assigned

Oct 22, 2013

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mir Neurology Center PA

  • Neurology Physician
  • Hagerstown, MD
  • NPI 1518905439
  Medicare reassignment NPD
• Alleghenies Independent Physicians PC

  dba Alleghenies Independent Physicians

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1871535351
  Medicare reassignment NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1497183818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022933",
            "telephone_number": "301-682-2041",
            "fax_number": "301-732-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 GREENE ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022933",
            "telephone_number": "301-682-2041",
            "fax_number": "301-732-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013898",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R207755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029341620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Lea Wagner, RN,CRNFA, CPSN,CNOR
• Gary L Wagoner, MD P A
• Michele Wagoner, CRNP
• Jonathan Walburn, M.D.
• Walgreen Co (Walgreens #17218)
• Vanessa Walker, LCPC
• Crystal Lynne Walls, CRNP
• Walsh & McCagh Pharmacy Inc (Walsh McCagh Kellough Pharmacy Inc)
• Brent Austin Walter, LCPC
• Johanna Walti, LCSW-C

• Nurse Practitioner in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.