Individual provider Active NPI

Felicia Marie Walden, NP

  • Family Nurse Practitioner
  • Casper, WY
National Provider Identifier
1811399736
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28255909A Issued in IN
Practice address
1900 E 1St St
Casper, WY 82601-2747
Phone
(307) 577-7737
Fax
(307) 557-0049
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34105.1344 WY
Family Nurse Practitioner 363LF0000X 28255909A IN Primary

Addresses

Primary practice location

1900 E 1St St
Casper, WY 82601-2747

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
34105.1344OtherWYWY BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FWALDEN@IUHEALTH.ORG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, IN2 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
I20141105000595 WY Practitioner - Nurse Practitioner 5092937102 Reassigns benefits to 1 organization
I20200313000376 IN Practitioner - Nurse Practitioner 5092937102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana University Health Urgent Care Centers LLCGroup PAC ID 0042526063, 93 clinicians

Practice addresses (Care Compare)

10853 E US Hwy 36
Iu Health Urgent Care LLC Avon
Avon, IN 46123-7981
Phone (225) 214-9352

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Mar 1, 2022 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Mar 1, 2022 Accepting new patients
Platte River Family Practice LLC Family CurrentSince Sep 29, 2014 Accepting new patients

Locations

10853 E US Highway 36
Avon, IN 46123
Phone (317) 779-0606

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1900 E 1st St
Casper, WY 82601
Phone (307) 577-7737

Interoperability endpoints

  • Direct secure messaging: fwalden@iuhealth.org
  • Direct secure messaging: fwalden@direct.iuhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1811399736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012747",
            "telephone_number": "307-577-7737",
            "fax_number": "307-557-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDEN",
        "first_name": "FELICIA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "34105.1344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28255909A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WY BOARD OF NURSING",
            "identifier": "34105.1344",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FWALDEN@IUHEALTH.ORG",
            "affiliation": "N",
            "address_1": "10853 E US Highway 36",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461237981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.