Individual provider Active NPI

Arlene Phyllis Beverley Walker, PA-C

  • Pediatrics Physician
  • Lakeland, FL
National Provider Identifier
1629149067
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
PA3581 Issued in FL
Practice address
3240 S Florida Ave Ste 101
Lakeland, FL 33803-4574
Phone
(863) 644-7337
Fax
(833) 450-4915
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X PA3581 FL Primary
Medical Physician Assistant 363AM0700X PA3581 FL

Addresses

Primary practice location

3240 S Florida Ave Ste 101
Lakeland, FL 33803-4574

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 632-2190

Other practice location 1

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679
Phone (863) 299-2630

Other identifiers 1

IdentifierTypeStateIssuer
292043300MedicaidFL

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
I20250918001424 FL Practitioner - Physician Assistant 2163926510 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healnexxt Woundcare LLCGroup PAC ID 3779003983, 12 clinicians
Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians

Practice addresses (Care Compare)

211 E Main St
Lakeland, FL 33801-4628
Phone (863) 860-8093

2203 N Lois Ave
Suite 814
Tampa, FL 33607-2388
Phone (813) 608-5633

3240 S Florida Ave
Suite 101
Lakeland, FL 33803-4574
Phone (863) 644-7337

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3581FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healnexxt Woundcare LLC CurrentSince Dec 9, 2025 Accepting new patients
The Nemours Foundation Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

211 E Main St
Lakeland, FL 33801
Phone (863) 225-9555

Organizations & group practices 5

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1629149067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-632-2190",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S FLORIDA AVE STE 101",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-644-7337",
            "fax_number": "833-450-4915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pope Ave NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814679",
            "country_code": "US",
            "telephone_number": "863-299-2630",
            "fax_number": "833-450-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ARLENE",
        "middle_name": "PHYLLIS BEVERLEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "PA3581",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292043300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.