Laura Marie Walters, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4067 Issued in AK

Practice address

1911 E Rezanof Dr
Kodiak, AK 99615-6602

Phone

(907) 481-5000

Fax

(907) 481-5030

NPI assigned

Feb 9, 2006

Sex

Female

Sole proprietor

No

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.

• Kodiak Island Health Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Kodiak, AK
  • NPI 1326047044

  AK

  Medicare reassignment Care Compare group NPD
• Providence Health & Services Washington

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660

  AK

  Medicare reassignment Care Compare group NPD
• Providence Health & Services Washington

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kodiak, AK
  • NPI 1952430902

  AK

  Medicare reassignment Care Compare group NPD
• Providence Health & Services Washington

  • Skilled Nursing Facility
  • Kodiak, AK
  • NPI 1790889400
  Care Compare group
• Providence Health & Services - Washington

  • Home Health Agency
  • Kodiak, AK
  • NPI 1891899597
  NPD

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

• Providence Health & Services Washington

  • Critical Access Hospital
  • Kodiak, AK
  • NPI 1013905660

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • Skilled Nursing Facility
  • Kodiak, AK
  • NPI 1790889400

  Nursing home

  Care Compare affiliation

Specialty

Family Practice

Education

University of Washington School of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Kodiak Island Health Care Foundation 15 clinicians

Providence Health and Services Washington 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Kodiak Island Medical Ctr Hospital, Kodiak, AK, CCN 021306
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001
• Providence Kodiak Island Medical Ctr Nursing home, CCN 02Z306

Merit-based Incentive Payment System (MIPS)

Final score

76.58 of 100Reported as group

Quality

74.05

Improvement activities

40

Cost

56.66

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lwalters217919@direct.ochin.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2017.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1831162825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156602",
            "telephone_number": "907-481-5000",
            "fax_number": "907-481-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156602",
            "telephone_number": "907-481-5000",
            "fax_number": "907-481-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC TAX ID",
            "identifier": "920088665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4067",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amber Wellner, ANP
• Nancy Jean Wells

• All providers in Kodiak, AK
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.