Patrick Roger Walter, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

904 5TH Ave NE
Jamestown, ND 58401-3437

Phone

(701) 253-4020

Fax

(701) 253-4040

NPI assigned

May 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lutheran Charity AssociationGroup PAC ID 2264341031, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335
• Carrington Health Center Hospital, Carrington, ND, CCN 351318
• CHI Mercy Health Hospital, Valley City, ND, CCN 351324
• SMP Health St Aloisius Hospital, Harvey, ND, CCN 351327

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Lutheran Charity Association

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Medicare reassignment Care Compare group NPD
• Lutheran Charity Association

  • Emergency Medicine Physician
  • Jamestown, ND
  • NPI 1821044652
  Medicare reassignment
• Lutheran Charity Association

  • Diagnostic Radiology Physician
  • Jamestown, ND
  • NPI 1700038981
  NPD
• Lutheran Charity Association

  • Medicare Defined Swing Bed Hospital Unit
  • Jamestown, ND
  • NPI 1184610347
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carrington Health Center

  • Critical Access Hospital
  • Carrington, ND
  • NPI 1205807013
  Care Compare affiliation
• Lutheran Charity Association

  • Critical Access Hospital
  • Jamestown, ND
  • NPI 1548256753
  Care Compare affiliation
• Mercy Hospital of Valley City

  • Critical Access Hospital
  • Valley City, ND
  • NPI 1477549111
  Care Compare affiliation
• St Aloisius Hospital Inc

  • Critical Access Hospital
  • Harvey, ND
  • NPI 1457477218
  Care Compare affiliation

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1679891907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 31ST ST SE UNIT 6",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584019258",
            "telephone_number": "701-252-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 5TH AVE NE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013437",
            "telephone_number": "701-253-4020",
            "fax_number": "701-253-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "PATRICK",
        "middle_name": "ROGER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71138",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc.
• Kenady Waldie, DPT
• Ross Allen Waleri
• Sarah Walker
• Westin Scott Walker
• Amy Walz, OTR/L
• Nicole Wanzek, LPCC
• Rachel Wanzek, MD
• Amy Weatherly, PHD
• Mike Weatherly

• Surgical Physician Assistant in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Surgical Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.