DR. GENELLE A WALTERS (D.O.) – Obstetrics & Gynecology Physician, NPI 1023270220

DR. GENELLE A WALTERS (D.O.) is a healthcare provider. based in Orlando, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. OS11470 (FL). The NPI Number for DR. GENELLE A WALTERS (D.O.) is 1023270220

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. GENELLE A WALTERS (D.O.)
NPI
1023270220
Phone
(407) 905-8827
Address
840 MERCY DR
Enumeration Date
28 June 2008
Last Update Date
1 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079058827
Graduation Year
2011 (15 years ago)
PAC ID
0143494955
Group Practice PAC ID
4082515390
Professional Enrollment ID
I20111114000081
Address ID
FL327035327AP225XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. GENELLE A WALTERS (D.O.)

  • Mercy Drive, Center of Commerce at Orlando, Orlando, Orange County, Florida, 32808, United States

    ORLANDO, FL 328087820

    Phone: (407) 905-8827

    Fax: (407) 209-3220

    Type: Location

  • Woodland Street, Winter Garden, Orange County, Florida, United States

    WINTER GARDEN, FL 347873546

    Phone: (407) 905-8827

    Fax: (407) 209-3220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Organon LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$15
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: 2011-11-14

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
I20111114000081IObstetrics/GynecologyFLTBD

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 32808)

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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: 4082515390View full group profile
NameSpecialtyState
Nurse PractitionerNY
Physician AssistantFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Family PracticeFL
Family PracticeFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

How is DR. GENELLE A WALTERS (D.O.) identified in CMS data?
CMS-hosted NPPES data lists DR. GENELLE A WALTERS (D.O.) with NPI 1023270220.
Can I rely on DR. GENELLE A WALTERS (D.O.) being an active provider?
As of the registry snapshot, DR. GENELLE A WALTERS (D.O.) is marked active.
What taxonomy line describes DR. GENELLE A WALTERS (D.O.)?
For research purposes, treat DR. GENELLE A WALTERS (D.O.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. GENELLE A WALTERS (D.O.) list a practice location?
Patients near Orlando, Florida may find DR. GENELLE A WALTERS (D.O.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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