Individual provider Active NPI

Robert Walters IV, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1598514721
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11032879 Issued in FL
Practice address
801 N Magnolia Ave Ste 106
Orlando, FL 32803-3841
Phone
(321) 800-2922
NPI assigned
May 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032879 FL Primary

Addresses

Primary practice location

801 N Magnolia Ave Ste 106
Orlando, FL 32803-3841

Mailing address

801 N Magnolia Ave Ste 106
Orlando, FL 32803-3841
Phone (321) 800-2922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251203000197 FL Practitioner - Nurse Practitioner 9436642048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
26Health, IncGroup PAC ID 1951539220, 8 clinicians

Practice addresses (Care Compare)

801 N Magnolia Ave
Suite 200
Orlando, FL 32803-3851
Phone (321) 800-2922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11032879FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
26Health, Inc Psychiatric/Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

801 N Magnolia Ave
Ste 401
Orlando, FL 32803

801 N Magnolia Ave
Orlando, FL 32803
Phone (321) 800-2922

801 N Magnolia Ave
Ste 220
Orlando, FL 32803
Phone (407) 963-5664

801 N Magnolia Ave
Ste 106
Orlando, FL 32803
Phone (321) 800-2922

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.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1598514721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033841",
            "telephone_number": "321-800-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033841",
            "telephone_number": "321-800-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.