Individual provider Active NPI

Marcia J Walmer, RN, AP/MHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1891081816
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2011016058 Issued in MO
Practice address
1705 E Broadway Ste 200
Columbia, MO 65201-7167
Phone
(573) 303-3314
Fax
(573) 303-3478
NPI assigned
Jun 28, 2011
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209-014459 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2011016058 MO Primary

Addresses

Primary practice location

1705 E Broadway Ste 200
Columbia, MO 65201-7167

Mailing address

1705 E Broadway Ste 200
Columbia, MO 65201-7167
Phone (573) 303-3314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NM2 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
I20161104000143 IL Practitioner - Nurse Practitioner 6002070513
I20210429000535 NM Practitioner - Nurse Practitioner 6002070513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5965

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-014459ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Otero County Hospital Association CurrentSince May 21, 2021 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Dec 15, 2023 Accepting new patients
Otero County Hospital Association CurrentSince May 21, 2021 Accepting new patients
Serenity Health LLC PastSince Feb 22, 2024 Accepting new patients
Midwest Psychiatric Consultants, P.C. PastSince Apr 20, 1998 Accepting new patients
Kansas City University Past Accepting new patients
Mill Creek Outpatient Services LLC Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

27702 Network Pl
Chicago, IL 60673

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

6701 159th St
Ste 1
Tinley Park, IL 60477
Phone (708) 444-2226

6701 159th St
Ste 2
Tinley Park, IL 60477
Phone (708) 342-1900

2351 25th St
Unit B
Alamogordo, NM 88310
Phone (575) 446-5303

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

Organizations & group practices 7

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.

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1891081816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017167",
            "telephone_number": "573-303-3314",
            "fax_number": "573-303-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E BROADWAY STE 200",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017167",
            "telephone_number": "573-303-3314",
            "fax_number": "573-303-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALMER",
        "first_name": "MARCIA",
        "middle_name": "J",
        "credential": "RN, AP/MHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209-014459",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2011016058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.