Nickki Dawn Walter, APRN-CNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1128678 Issued in TX

Practice address

725 N Graham St Ste 600
Stephenville, TX 76401-3100

Phone

(254) 965-1171

NPI assigned

Jul 13, 2023

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Wound Care Specialists LLCGroup PAC ID 4183097983, 7 clinicians

Blocker Preventive Medicine PLLCGroup PAC ID 9931608940, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
• Classic Home Care Home health agency, Arlington, TX, CCN 747434
• Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
• Texas Health Harris Methodist Hospital Stephenvill Hospital, Stephenville, TX, CCN 450351
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blocker Preventive Medicine PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1649061706
  Medicare reassignment Care Compare group NPD
• Texas Wound Care Specialists LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Plano, TX
  • NPI 1487362851
  Medicare reassignment Care Compare group NPD

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

• Maxus Healthcare Partners LLC

  dba Renew Home Health

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1407191612
  Care Compare affiliation
• Palo Pinto County Hospital District

  dba Palo Pinto General Hospital

  • General Acute Care Hospital
  • Mineral Wells, TX
  • NPI 1972590602
  Care Compare affiliation
• SLH Health Corp

  dba Classic Home Care

  • Home Health Agency
  • Arlington, TX
  • NPI 1699900498
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Stephenville

  • General Acute Care Hospital
  • Stephenville, TX
  • NPI 1922031541
  Care Compare affiliation
• Weatherford Health Services, LLC

  dba Medical City Weatherford

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1730868191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 W SOUTH LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764015141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N GRAHAM ST STE 600",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013100",
            "telephone_number": "254-965-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 W South Loop",
            "address_purpose": "LOCATION",
            "city": "Stephenville",
            "state": "TX",
            "postal_code": "764015141",
            "country_code": "US",
            "telephone_number": "254-485-8126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "NICKKI",
        "middle_name": "DAWN",
        "credential": "APRN-CNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1128678",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "922066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LLC (Vision Center 30-0610)
• Walgreen Co (Walgreens #09040)
• Jan A Walker, LCSW
• Lena Marie Walker, MS CCC SLP
• Kynnadi Ayri Wallace
• Thomas Michael Ward, D.C.
• Savannah Warner, MSAT, LAT, ATC
• Cheryl Lynn Warwick, LVN
• Alana Lund Waterford, M.D.
• Kristen Watt, OD

• Family Nurse Practitioner in Stephenville, TX
• Providers in Stephenville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.