Individual provider Active NPI

Joseph Harley Walton

  • Psychiatric/Mental Health Nurse Practitioner
  • Fremont, OH
National Provider Identifier
1689528861
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0042474 Issued in OH
Practice address
1700 River St Ste a
Fremont, OH 43420-3586
Phone
(419) 658-9989
Fax
(419) 649-4454
NPI assigned
Feb 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 APRN.CNP.0042474 OH Primary

Addresses

Primary practice location

1700 River St Ste a
Fremont, OH 43420-3586

Mailing address

1711 Buckland Ave
Fremont, OH 43420-3566
Phone (419) 658-9989

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1711 Buckland Ave
Fremont, OH 43420-3566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Mental Health & Wellness LLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

1700 River St
Ste A
Fremont, OH 43420
Phone (419) 658-9989

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": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1689528861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 BUCKLAND AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203566",
            "telephone_number": "419-658-9989",
            "fax_number": "419-649-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RIVER ST STE A",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203586",
            "telephone_number": "419-658-9989",
            "fax_number": "419-649-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JOSEPH",
        "middle_name": "HARLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0042474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.