Individual provider Active NPI

Stacie Renee Walker

  • Advanced Practice Midwife
  • Raleigh, NC
National Provider Identifier
1942757034
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
617 Issued in NC
Practice address
4414 Lake Boone TRL Ste 311
Raleigh, NC 27607
Phone
(919) 351-8253
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 617 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL Ste 311
Raleigh, NC 27607

Mailing address

4414 Lake Boone TRL Ste 311
Raleigh, NC 27607-7514
Phone (919) 351-8253

Other practice location 1

1209 SE Industry Dr
Oxford, NC 27565-5023
Phone (252) 492-8576

Other practice location 2

4414 Lake Boone Trl Ste 402
Raleigh, NC 27607-7520
Phone (919) 567-6133

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swalker321335@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118001323 NC Practitioner - Certified Nurse Midwife (CNM) 2769761568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

4414 Lake Boone TRL
Suite 402
Raleigh, NC 27607-7520
Phone (919) 567-6133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
617NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Jul 2, 2019 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Oct 3, 2016 Accepting new patients
North Carolina MG, LLC CurrentSince Jun 1, 2025 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Oct 3, 2016 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
DLP Maria Parham Physician Practices, LLC Past Accepting new patients

Locations

511 Ruin Creek Rd
Ste 101
Henderson, NC 27536
Phone (252) 436-0440

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

1209 SE Industry Dr
Oxford, NC 27565
Phone (252) 492-8576

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

11211 Galleria Ave
Ste 101
Raleigh, NC 27614
Phone (919) 567-6133

4414 Lake Boone Trl
Ste 311
Raleigh, NC 27607
Phone (919) 781-7450

4414 Lake Boone Trl
Ste 308
Raleigh, NC 27607
Phone (919) 781-7450

4414 Lake Boone Trl
Ste 402
Raleigh, NC 27607
Phone (919) 567-6133

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: swalker321335@direct.unc.nchie.net
  • Direct secure messaging: walker@mwc.gwaydirect.com

Organizations & group practices 6

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1942757034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 311",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514",
            "telephone_number": "919-351-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 311",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27607",
            "telephone_number": "919-351-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 SE Industry Dr",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275655023",
            "country_code": "US",
            "telephone_number": "252-492-8576",
            "fax_number": "252-492-7464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4414 Lake Boone Trl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077520",
            "country_code": "US",
            "telephone_number": "919-567-6133",
            "fax_number": "919-567-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "STACIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swalker321335@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4414 Lake Boone Trl Ste 402",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.