NPIMap

Individual provider Active NPI

Dannon Rae Martin Walker, PA

  • Physician Assistant
  • Gary, IN
National Provider Identifier
1659743979
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005720 Issued in IL
Practice address
600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001
Phone
(219) 886-4000
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005720 IL Primary
Physician Assistant 363A00000X 10002514B IN

Addresses

Primary practice location

600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001

Mailing address

600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001
Phone (773) 233-8524

Other practice location 1

1101 Michigan Ave
Logansport, IN 46947-1528
Phone (574) 753-7541

Other names 1

  • Dannon Rae Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180614001952 IL Practitioner - Physician Assistant 2668727637 Reassigns benefits to 1 organization
I20180823002578 IN Practitioner - Physician Assistant 2668727637 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002514BINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Sep 1, 2019 Accepting new patients
Community Healthnet Inc CurrentSince Mar 1, 2024 Accepting new patients
Self-Ish RX Current Accepting new patients
Cep America LLC CurrentSince Sep 1, 2019 Accepting new patients
Community Healthnet Inc CurrentSince Mar 1, 2024 Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1021 W 5th Ave
Gary, IN 46402

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: dannon.martin.1@18065.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1659743979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 RICHARD GORDON HATCHER BLVD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "773-233-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 RICHARD GORDON HATCHER BLVD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464026001",
            "telephone_number": "219-886-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471528",
            "country_code": "US",
            "telephone_number": "574-753-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN WALKER",
        "first_name": "DANNON",
        "middle_name": "RAE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005720",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002514B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNON",
            "last_name": "MARTIN",
            "middle_name": "RAE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.