DR. SHAYNA TANISE WALKER (M.D) – Family Medicine Physician, NPI 1760688295

DR. SHAYNA TANISE WALKER (M.D) is a healthcare provider. based in San marcos, California. specializing in GENERAL PRACTICE, PSYCHIATRY, PSYCHIATRY, FAMILY PRACTICE, FAMILY PRACTICE. They hold the professional credentials M.D. They hold a License No. 2011-01965 (NC). The NPI Number for DR. SHAYNA TANISE WALKER (M.D) is 1760688295

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAYNA TANISE WALKER (M.D)
NPI
1760688295
Phone
(760) 736-8675
Address
150 VALPREDA RD
Enumeration Date
22 June 2007
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
8669141070
Graduation Year
2007 (19 years ago)
PAC ID
0446406714
Group Practice PAC ID
4082130109
Professional Enrollment ID
I20250812000990
Address ID
MO640132281BL500XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:18State licenses:3Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

Provider Addresses for DR. SHAYNA TANISE WALKER (M.D)

  • 150, Valpreda Road, San Marcos, San Diego County, California, 92096, United States

    SAN MARCOS, CA 920692973

    Phone: (760) 736-8675

    Fax: (760) 736-8642

    Type: Mailing

  • 22325 GOSLING RD

    SPRING, TX 773894409

    Phone: (281) 724-7980

    Type: Mailing

  • 114 W 7TH ST

    AUSTIN, TX 787013000

    Phone: (888) 285-2269

    Fax: (214) 427-6598

    Type: Mailing

  • 29101 HOSPITAL RD

    LAKE ARROWHEAD, CA 923529706

    Phone: (909) 336-3651

    Type: Location

  • 3171 S 129TH EAST AVE STE A

    TULSA, OK 741343215

    Phone: (619) 578-9225

    Type: Location

  • 3171 S 129th East Ave Ste A

    Tulsa, OK 741343215

    Phone: (918) 205-4681

    Type: Location

  • 601 S Harbour Island Blvd Ste 109

    Tampa, FL 336025927

    Phone: (619) 578-9225

    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: 2026-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 30 Medicare enrollment records; no due dates published yet.

Enrollment records

30

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130904000172IPsychiatryCATBD
I20241104001020IFamily PracticeTXTBD
I20250605000297IFamily PracticePATBD
I20250609000565IFamily PracticeILTBD
I20250613003052IFamily PracticeALTBD
I20250619000257IFamily PracticeKYTBD
I20250624000919IFamily PracticeGATBD
I20250701001553IFamily PracticeNJTBD
I20250701002487IFamily PracticeMDTBD
I20250701003198IFamily PracticeCOTBD
I20250701003970IFamily PracticeMSTBD
I20250702002532IFamily PracticeMITBD
I20250707002414IFamily PracticeWITBD
I20250709001677IGeneral PracticeAZTBD
I20250711002926IFamily PracticeKSTBD
I20250714001153IFamily PracticeLATBD
I20250714003448IFamily PracticeNETBD
I20250728003845IFamily PracticeFLTBD
I20250730004184IFamily PracticeNVTBD
I20250730004323IFamily PracticeUTTBD
I20250731001317IFamily PracticeTNTBD
I20250808000912IFamily PracticeVATBD
I20250811003782IFamily PracticeIATBD
I20250812000990IFamily PracticeMOTBD
I20250819001605IFamily PracticeMTTBD
I20250916004113IFamily PracticeMNTBD
I20251016003762IFamily PracticeIDTBD
I20260123002488IGeneral PracticeWATBD
I20260123003056IGeneral PracticeINTBD
I20260226003173IGeneral PracticeOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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 92069)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082130109View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physical Medicine And Rehabilitation, Family Practice, Internal Medicine, Obstetrics/Gynecology, Pain Management, Physical Medicine And Rehabilitation, Family PracticeNV
Nurse PractitionerAR

Reviews

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Frequently asked questions

Can I verify DR. SHAYNA TANISE WALKER (M.D) with an NPI only?
You can start verification with NPI 1760688295 for DR. SHAYNA TANISE WALKER (M.D), then check state licensing separately.
Can I rely on DR. SHAYNA TANISE WALKER (M.D) being an active provider?
As of the registry snapshot, DR. SHAYNA TANISE WALKER (M.D) is marked active.
What healthcare role does DR. SHAYNA TANISE WALKER (M.D) hold?
Scheduling teams often label DR. SHAYNA TANISE WALKER (M.D) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SHAYNA TANISE WALKER (M.D)?
DR. SHAYNA TANISE WALKER (M.D)'s geographic hint is San Marcos, California in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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