Walter Lewis Toller III

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R197972 Issued in MD

Practice address

2439 E Lafayette Ave
Baltimore, MD 21213-2562

Phone

(410) 530-6612

Fax

(410) 747-4076

NPI assigned

Mar 31, 2021

Last updated

Sep 29, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

20.14 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

67.13

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Toller Enterprises LLC

  dba Brighter Days Recovery Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment NPD Authorized official
• Fitzgerald Primary Care LLC

  • Primary Care Clinic/Center
  • Baltimore, MD
  • NPI 1902382252
  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1740049568
  Medicare reassignment NPD
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1932968856

  VA

  Medicare reassignment NPD
• Spiritual Healing

  • Pain Management Registered Nurse
  • Baltimore, MD
  • NPI 1982399218
  NPD Authorized official
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment
• Brighter Days SNF Telehealth, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1538080189
  Authorized official Same address or phone
• Spiritual Healing, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1083504856
  NPD (past) Authorized official
• Spiritual Healing, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Randallstown, MD
  • NPI 1083504898
  NPD (past) Authorized official
• Spiritual Healing, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1275423089
  NPD (past) Authorized official
• Spiritual Healing, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
  • NPI 1366332173
  NPD (past) Authorized official

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1760060636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 E LAFAYETTE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132562",
            "telephone_number": "410-530-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 E LAFAYETTE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212132562",
            "telephone_number": "410-530-6612",
            "fax_number": "410-747-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLER",
        "first_name": "WALTER",
        "middle_name": "LEWIS",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R197972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toller Enterprises LLC (Brighter Days Recovery Center)
• Toller Enterprises LLC (Brighter Days Recovery Center)
• Toller Enterprises LLC
• Toller Enterprises LLC
• Toller Enterprises, LLC
• Tyler Tolleson, MD
• Matthew Ray Tolley, DPM
• Aliyah Tolliver, BCBA, LBA
• Ashley B Tolliver, P.A.-C.
• Chrishera Tolliver

• Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.