MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) – Speech-Language Pathologist, NPI 1053674861

MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) is a healthcare provider. based in Jacksonville, Florida. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials M.A. CCC-SLP. They hold a License No. SA 11612 (FL). The NPI Number for MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) is 1053674861

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER MARIE WALKER (M.A. CCC-SLP)
NPI
1053674861
Phone
(904) 202-9750
Address
800 PRUDENTIAL DR
Enumeration Date
18 June 2012
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612605555
Graduation Year
2011 (15 years ago)
PAC ID
6305225533
Group Practice PAC ID
3577095884
Professional Enrollment ID
I20220618000401
Address ID
FL334584811JU4600XTRLX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Digital endpointsOther names

570 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in FL

Provider Addresses for MS. JENNIFER MARIE WALKER (M.A. CCC-SLP)

  • 800 PRUDENTIAL DR

    JACKSONVILLE, FL 322078202

    Phone: (904) 202-9750

    Fax: (904) 202-9298

    Type: Mailing

  • 4600 MILITARY TRL STE 108

    JUPITER, FL 334584811

    Phone: (561) 260-5555

    Fax: (561) 941-9347

    Type: Mailing

  • 4600 MILITARY TRL

    STE 108

    JUPITER, FL 334584811

    Phone: (561) 260-5555

    Fax: (561) 941-9347

    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: 2022-06-18

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
I20220618000401IQualified Speech Language PathologistFLTBD

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 32207)

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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: 3577095884View full group profile
NameSpecialtyState
Qualified AudiologistFL
Qualified AudiologistFL

Reviews

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Frequently asked questions

Can I verify MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) with an NPI only?
You can start verification with NPI 1053674861 for MS. JENNIFER MARIE WALKER (M.A. CCC-SLP), then check state licensing separately.
Does CMS list MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) as active?
Yes — MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) is active in the NPI listing used on this page.
What healthcare role does MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) hold?
Scheduling teams often label MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where is MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) based?
MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) is tied to Jacksonville, Florida in the data we show; additional addresses may exist on the full record.
Is the information about MS. JENNIFER MARIE WALKER (M.A. CCC-SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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