WALTER H JOYNER (PA) – Physician Assistant, NPI 1154370096

WALTER H JOYNER (PA) is a healthcare provider. based in Melbourne, Florida. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA3157 (FL). The NPI Number for WALTER H JOYNER (PA) is 1154370096

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
WALTER H JOYNER (PA)
NPI
1154370096
Phone
(321) 253-2169
Address
6300 N WICKHAM RD
Enumeration Date
8 May 2006
Last Update Date
17 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212532169
Graduation Year
1984 (42 years ago)
PAC ID
3870786254
Group Practice PAC ID
1557322286
Professional Enrollment ID
I20101018000886
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for WALTER H JOYNER (PA)

  • North Wickham Road, Fountainhead North, Melbourne, Brevard County, Florida, 32935, United States

    SUITE 101-108

    MELBOURNE, FL 329402028

    Phone: (321) 253-2169

    Fax: (321) 253-1720

    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 2 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($30).

Total Amount

$30

General + Research + Ownership

Payments

2

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$30
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: 2010-10-18

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
I20101018000886IPhysician AssistantFLTBD

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 32940)

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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: 1557322286View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Family PracticeFL
Family PracticeFL
Internal MedicineFL

Reviews

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Frequently asked questions

Does WALTER H JOYNER (PA) have a public NPI I can cite?
Public records show WALTER H JOYNER (PA) under NPI 1154370096.
Does the public listing show WALTER H JOYNER (PA) as active?
WALTER H JOYNER (PA)'s NPI record reflects an active status in NPPES.
What does the directory say WALTER H JOYNER (PA) does?
Insurance directories may phrase it differently, but here WALTER H JOYNER (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is WALTER H JOYNER (PA) tied to Melbourne, Florida?
If you are local to Melbourne, Florida, WALTER H JOYNER (PA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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