SHANNON WALKER (CNM) – Advanced Practice Midwife, NPI 1679029953
Advanced Practice Midwife
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
761 NURSE PRACTITIONER in AK
Provider Addresses for SHANNON WALKER (CNM)
1001 S KNIK GOOSE BAY RD
WASILLA, AK 996548083
Phone: (907) 631-7800
Type: Location
PO BOX 410
NEAH BAY, WA 983570410
Phone:
Type: Mailing
7033 E TUDOR RD
ANCHORAGE, AK 995071262
Phone: (907) 729-9989
Fax: (907) 729-5180
Type: Mailing
2828 PAA ST
HONOLULU, HI 968194430
Phone: (808) 432-2000
Type: Location
2828 Paa St
Honolulu, HI 968194430
Phone: (808) 432-2000
Type: Location
250 Fort Street
Neah Bay, WA 983570410
Phone: (360) 645-2233
Type: Location
250, Fort Street, Neah Bay, Clallam County, Washington, 98357, United States
NEAH BAY, WA 983570410
Phone: (360) 645-2233
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171109001300 | I | Nurse Practitioner | TX | TBD |
| I20200131001917 | I | Nurse Practitioner | HI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99654)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Nurse Practitioner | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Physical Therapist In Private Practice | HI | |
| Nurse Practitioner | AK |
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