Active NPI
Chad Walker, PA
- Physician Assistant
- Mapleton, IA
National Provider Identifier
1679028690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 083650
- Practice address
- 513 S Muckey St
Mapleton, IA 51034 - Phone
- (712) 882-2234
- NPI assigned
- Aug 19, 2016
- Last updated
- May 17, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 083650 | IA | Primary |
Addresses
Primary practice location
513 S Muckey St
Mapleton, IA 51034
Mailing address
513 S Muckey St
Mapleton, IA 51034-1055
Phone (712) 882-2234
Other practice location 1
6601 SW 9th St
Des Moines, IA 50315-6138
Phone (515) 643-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083650 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burgess Health Center | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Burgess Family Clinic - Sloan
- Rural Health Clinic/Center
- Sloan, IA
- NPI 1013243633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526515200000",
"number": "1679028690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 S MUCKEY ST",
"city": "MAPLETON",
"state": "IA",
"postal_code": "510341055",
"telephone_number": "712-882-2234",
"fax_number": "712-423-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 S MUCKEY ST",
"city": "MAPLETON",
"state": "IA",
"postal_code": "51034",
"telephone_number": "712-882-2234"
}
],
"practiceLocations": [
{
"address_1": "6601 SW 9th St",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503156138",
"country_code": "US",
"telephone_number": "515-643-9400",
"fax_number": "515-643-9405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "CHAD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2018-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "083650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mapleton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.