Individual provider Active NPI

Ernest Walker, PA-C

  • Medical Physician Assistant
  • Charlevoix, MI
National Provider Identifier
1750752317
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008412 Issued in MI
Practice address
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone
(231) 547-8507
Fax
(801) 740-2847
NPI assigned
Oct 8, 2015
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1568 ME
Medical Physician Assistant 363AM0700X 5601008412 MI Primary

Addresses

Primary practice location

14700 Lake Shore Dr
Charlevoix, MI 49720-1931

Mailing address

PO Box 270
South Freeport, ME 04078-0270
Phone (207) 725-9065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151229002066 ME Practitioner - Physician Assistant 9234430729 Reassigns benefits to 4 organizations
I20171025002170 MI Practitioner - Physician Assistant 9234430729 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1568MEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Regional Hospital CurrentSince Apr 21, 2018 Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Midcoast Hospital CurrentSince Oct 1, 2016 Accepting new patients
Down East Community Hospital CurrentSince Oct 17, 2016 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Down East Community Hospital CurrentSince Oct 17, 2016 Accepting new patients
Mainehealth CurrentSince Dec 1, 2020 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Aug 8, 2022 Accepting new patients
Aspirus Ironwood Hospital & Clinics Inc CurrentSince Feb 1, 2025 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

11 Hospital Dr
Machias, ME 04654
Phone (207) 255-0434

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1750752317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "SOUTH FREEPORT",
            "state": "ME",
            "postal_code": "040780270",
            "telephone_number": "207-725-9065",
            "fax_number": "207-725-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 LAKE SHORE DR",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201931",
            "telephone_number": "231-547-8507",
            "fax_number": "801-740-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ERNEST",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA1568",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

Verify at the official NPI Registry.