JEWEL WALTERS (MSN, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1811679160

JEWEL WALTERS (MSN, APRN, PMHNP-BC) is a healthcare provider. based in New haven, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, PMHNP-BC. They hold a License No. 128640 (CT). The NPI Number for JEWEL WALTERS (MSN, APRN, PMHNP-BC) is 1811679160

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JEWEL WALTERS (MSN, APRN, PMHNP-BC)
NPI
1811679160
Phone
(475) 238-0639
Address
110 OSBORN AVE
Enumeration Date
7 August 2023
Last Update Date
31 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607364140
Graduation Year
2022 (4 years ago)
PAC ID
3476099532
Group Practice PAC ID
1951692706
Professional Enrollment ID
I20240724004305
Address ID
CT060672328RO2257XHWYX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for JEWEL WALTERS (MSN, APRN, PMHNP-BC)

  • 110 OSBORN AVE

    NEW HAVEN, CT 065112804

    Phone: (475) 238-0639

    Type: Mailing

  • 966 S MAIN ST

    PLANTSVILLE, CT 064791645

    Phone: (860) 863-1001

    Type: Location

  • 11 Fairfield Blvd

    Wallingford, CT 064921828

    Phone: (203) 949-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($85).

Total Amount

$107

General + Research + Ownership

Payments

4

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-24

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240724004305INurse PractitionerCTTBD

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 06511)

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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: 1951692706View full group profile
NameSpecialtyState
P S Y C H I A T R YCT
Nurse PractitionerCT
A N E S T H E S I O L O G YCT
Clinical Social WorkerCT
Psychiatry, Geriatric PsychiatryCT
-CT
Nurse PractitionerCT

Reviews

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Frequently asked questions

What identifier follows JEWEL WALTERS (MSN, APRN, PMHNP-BC) across health systems?
The NPI 1811679160 uniquely identifies JEWEL WALTERS (MSN, APRN, PMHNP-BC) in U.S. healthcare data.
Quick check: is JEWEL WALTERS (MSN, APRN, PMHNP-BC) active?
Public NPPES data shows JEWEL WALTERS (MSN, APRN, PMHNP-BC) with an active NPI status right now.
How should patients interpret JEWEL WALTERS (MSN, APRN, PMHNP-BC)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for JEWEL WALTERS (MSN, APRN, PMHNP-BC). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEWEL WALTERS (MSN, APRN, PMHNP-BC)?
JEWEL WALTERS (MSN, APRN, PMHNP-BC) is associated with New Haven, Connecticut in the same public data insurers reference.
Who maintains JEWEL WALTERS (MSN, APRN, PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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