Meredith Walter, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0000000000 Issued in IL

Practice address

4979 Indiana Ave
Lisle, IL 60532-3847

Phone

(312) 337-4150

Fax

(312) 337-4311

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Medical Care LLCGroup PAC ID 8426474941, 3 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Urgent Medical Care LLC

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1699397729
  Medicare reassignment Care Compare group
• Premise Health of Illinois Medical PC

  • Primary Care Clinic/Center
  • Mount Vernon, IL
  • NPI 1427366921
  Medicare reassignment NPD
• Primary Health Care LLC

  • Primary Care Clinic/Center
  • Willowbrook, IL
  • NPI 1053933184
  Medicare reassignment
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Lisle, IL
  • NPI 1073025235
  NPD
• Premise Health of Illinois Medical PC

  • Multi-Specialty Clinic/Center
  • Utica, IL
  • NPI 1295518868
  NPD
• The Methodist Hospitals, Inc

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1740736719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 INDIANA AVE STE 312",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323850",
            "telephone_number": "312-337-4150",
            "fax_number": "312-337-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4979 INDIANA AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605323847",
            "telephone_number": "312-337-4150",
            "fax_number": "312-337-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MEREDITH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "address_1": "4979 Indiana Ave",
            "city": "Lisle",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605323847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walgreen Co.
• Nadia Natasha Walker, MENTAL HEALTH COACH
• Tammi Cherise Walker, LCSW
• Walks of Life Home Care Services, LLC.
• Alex J Wallace, R.PH,
• Jieqiong Wang, PHYSICAL THERAPIST
• Zhanxiang Wang, L.AC OMD
• Elvia A. Washington, FNP-BC
• Wayne S Jacobson DDS LTD
• Chapin Wehde, ATC

• Family Nurse Practitioner in Lisle, IL
• Providers in Lisle, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.