Jordyn Nicole Walter, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

68084 Issued in MN

Practice address

424 W State Highway 5
Waconia, MN 55387-1795

Phone

(952) 442-4461

Fax

(952) 442-1547

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jordyn Nicole Farrell Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Internal Medicine

Education

University of Minnesota Medical School, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeview Clinic, LTD.Group PAC ID 6002801453, 52 clinicians

Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ridgeview Home Care Services Home health agency, Waconia, MN, CCN 247168
• Adara Home Health Inc Home health agency, Buffalo, MN, CCN 248056
• Ridgeview Hospice Hospice, Waconia, MN, CCN 241567
• Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056
• Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
• Good Samaritan Society - Waconia and Westview Acre Nursing home, Waconia, MN, CCN 245234

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordynwalter@tv.allscriptsdirect.net

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.

• Lakeview Clinic, LTD.

  • Multi-Specialty Clinic/Center
  • Waconia, MN
  • NPI 1669599981
  Medicare reassignment Care Compare group NPD
• Ridgeview Medical Center

  • Certified Registered Nurse Anesthetist
  • Waconia, MN
  • NPI 1528364429

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Minnesota Valley Health Center Inc

  • Critical Access Hospital
  • Le Sueur, MN
  • NPI 1730248907

  Multi-Specialty

  Medicare reassignment NPD
• Sibley Medical Center

  • Critical Access Hospital
  • Arlington, MN
  • NPI 1740240225

  Multi-Specialty

  Medicare reassignment NPD
• Minnesota Valley Health Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Le Sueur, MN
  • NPI 1215097902
  NPD
• Ridgeview Medical Center

  • Diagnostic Radiology Physician
  • Waconia, MN
  • NPI 1811174923

  Multi-Specialty

  NPD
• Ridgeview Medical Center

  • General Acute Care Hospital
  • Waconia, MN
  • NPI 1275608457
  NPD (past)

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

• Adara Home Health, Inc.

  • Home Health Agency
  • Buffalo, MN
  • NPI 1063420198
  Care Compare affiliation
• Allina Health System

  • Obstetrics & Gynecology Physician
  • Edina, MN
  • NPI 1033365853

  Hospital

  Care Compare affiliation
• Allina Health System

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1053354506

  Hospital

  Care Compare affiliation
• Allina Health System

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1053354985

  Hospital

  Care Compare affiliation
• Allina Health System

  • Cardiovascular Disease Physician
  • Minneapolis, MN
  • NPI 1104050160

  Hospital

  Care Compare affiliation
• Allina Health System

  • Neurological Surgery Physician
  • Minneapolis, MN
  • NPI 1144264540

  Hospital

  Care Compare affiliation
• Allina Health System

  • Obesity Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1154684835

  Hospital

  Care Compare affiliation
• Allina Health System

  • Ophthalmology Physician
  • Minneapolis, MN
  • NPI 1174567184

  Hospital

  Care Compare affiliation
• Allina Health System

  • Physical Medicine & Rehabilitation Physician
  • Minneapolis, MN
  • NPI 1275577215

  Hospital

  Care Compare affiliation
• Allina Health System

  • Family Medicine Physician
  • Plymouth, MN
  • NPI 1326463845

  Hospital

  Care Compare affiliation
• Allina Health System

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1336185651

  Hospital

  Care Compare affiliation
• Allina Health System

  • Psychiatry Physician
  • Minneapolis, MN
  • NPI 1346282563

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1881155729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W STATE HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871795",
            "telephone_number": "952-442-4461",
            "fax_number": "952-442-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JORDYN",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "68084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881155729",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "FARRELL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Waconia Pharmacy
• Waconia School District
• Walgreen Co
• Christy Anne Wallen, CPD, CD, CPDT,
• Katelynn Marie Walsh, MS, LAT, ATC, EMT
• Mackenzie Wand
• Melanie Jane Warm, LICSW
• Water'S Edge Transportation, LLC
• Waterside Healthcare & Wellness, LLC
• Matthew Weber, DPM

• Internal Medicine Physician in Waconia, MN
• Providers in Waconia, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.