Active NPI
Elisabeth Walker
- Family Nurse Practitioner
- Carmichael, CA
National Provider Identifier
1972850360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21850
- Practice address
- 5821 Jameson CT
Carmichael, CA 95608-0890 - Phone
- (916) 486-0411
- Fax
- (916) 486-0525
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21850 | CA | Primary |
Addresses
Primary practice location
5821 Jameson CT
Carmichael, CA 95608-0890
Mailing address
5821 Jameson CT
Carmichael, CA 95608-0890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200210000102 | CA | Practitioner - Nurse Practitioner | 0941420905 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rocklin Family Practice and Sports Medicine
Practice addresses (Care Compare)
3104 Sunset Blvd
Suite 2B
Rocklin, CA 95677-3093
Phone (916) 624-0300
Hospital & facility affiliations
- Sutter Roseville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocklin Family Practice and Sports Medicine | Current | Accepting new patients |
Locations
3104 Sunset Blvd
Ste 2B
Rocklin, CA 95677
Phone (916) 624-0300
Interoperability endpoints
- ewalker239773@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395878400000",
"number": "1972850360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 JAMESON CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 JAMESON CT",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080890",
"telephone_number": "916-486-0411",
"fax_number": "916-486-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "ELISABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2014-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.