Nicole M Walton, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

76990 Issued in KS

Practice address

10995 Quivira Rd
Overland Park, KS 66210-1207

Phone

(913) 339-9437

Fax

(913) 339-9538

NPI assigned

Aug 14, 2014

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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

University of Missouri, Kansas City, School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kansas Pain ManagementGroup PAC ID 0143125575, 8 clinicians

Practice addresses (Care Compare)

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.

• Kansas Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Overland Park, KS
  • NPI 1104929546
  Medicare reassignment Care Compare group
• Kansas Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • Roeland Park, KS
  • NPI 1881347276
  NPD

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1871992057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10995 QUIVIRA RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101207",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Marshall Dr",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662141505",
            "country_code": "US",
            "telephone_number": "913-339-9437",
            "fax_number": "913-339-9538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "76990",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "76990",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014004039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871992057",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Lynn Walters, ACNPC-AG
• Leslie Ray Waltman III, CRNA
• Gina Marie Waltmire, MS, LCMFT
• Becky Waltner, APRN
• Mark Stephen Walton, M.D.
• Nicole Marie Wampler, RD
• John KP Wang, D.D.S.
• Shirley Y Wang, M.D.
• Sidney W Wang, M.D.
• Yaqiong Wang, PT, DPT

• Acute Care Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Acute Care Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.