WALTER HANEY III PERRELL (FNP-C) – Nurse Practitioner, NPI 1306574181

WALTER HANEY III PERRELL (FNP-C) is a healthcare provider. based in Homosassa, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 11021321 (FL). The NPI Number for WALTER HANEY III PERRELL (FNP-C) is 1306574181

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
WALTER HANEY III PERRELL (FNP-C)
NPI
1306574181
Phone
(352) 613-6873
Address
6394 W CONSTITUTION LN
Enumeration Date
10 August 2022
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527261551
Graduation Year
2022 (4 years ago)
PAC ID
5193164754
Group Practice PAC ID
8426413931
Professional Enrollment ID
I20240415003836
Address ID
FL344524720IN502XXBLVD442
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for WALTER HANEY III PERRELL (FNP-C)

  • 6394 W CONSTITUTION LN

    HOMOSASSA, FL 344481653

    Phone: (352) 613-6873

    Type: Location

  • 502 W HIGHLAND BLVD

    INVERNESS, FL 344524720

    Phone: (352) 726-1551

    Type: Location

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-12-02 • Largest payer in this snapshot: CSL Behring ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$21
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: 2024-04-15

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
I20240415003836INurse PractitionerFLTBD

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 34448)

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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: 8426413931View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineTX
Family PracticeGA
Family PracticeCA
Nurse PractitionerFL
Emergency MedicinePA
Emergency MedicineFL
Nurse PractitionerMA
Emergency MedicineFL

Reviews

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Frequently asked questions

How do I look up WALTER HANEY III PERRELL (FNP-C) by NPI?
Use NPI 1306574181 when you need to reference WALTER HANEY III PERRELL (FNP-C) in forms, claims, or directories.
Is WALTER HANEY III PERRELL (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does WALTER HANEY III PERRELL (FNP-C) work in?
You can think of WALTER HANEY III PERRELL (FNP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is WALTER HANEY III PERRELL (FNP-C)'s primary listing?
We display Homosassa, Florida because that is what the record indicates for WALTER HANEY III PERRELL (FNP-C).
What if Homosassa, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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