KRISTY KELLER WALKER (PA-C) – Physician Assistant, NPI 1164534491
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
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Provider Addresses for KRISTY KELLER WALKER (PA-C)
4375, North Vantage Drive, Fayetteville, Washington County, Arkansas, 72703, United States
SUITE 305
FAYETTEVILLE, AR 72703
Phone: (479) 443-5100
Fax: (479) 443-5117
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,701.
Total Amount is formed as General ($1,701) + Research ($0) + Ownership ($0) = $1,701.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($547).
Total Amount
$1,701
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,701
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $547 |
| Lilly USA, LLC | $288 |
| E.R. Squibb & Sons, L.L.C. | $212 |
| GENZYME CORPORATION | $146 |
| Organogenesis Inc. | $64 |
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: 2009-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20090715000479 | I | Physician Assistant | AR | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,324 | 222 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 638 | 458 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 408 | 295 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 295 | 245 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 267 | 225 | $0 |
Insurance plans in this area (ZIP 72703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR | |
| D E R M A T O L O G Y | LA | |
| Emergency Medicine, Dermatology | AR | |
| Nurse Practitioner | AR | |
| Physician Assistant | AR | |
| D E R M A T O L O G Y | AR |
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