DR. LISA ANN REMALEY-WALTERS (MD) – Hospitalist Physician, NPI 1578501136

DR. LISA ANN REMALEY-WALTERS (MD) is a healthcare provider. based in Ponte vedra, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD062655L (PA). The NPI Number for DR. LISA ANN REMALEY-WALTERS (MD) is 1578501136

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA ANN REMALEY-WALTERS (MD)
NPI
1578501136
Phone
(814) 528-3212
Address
93 WILD ELM AVE
Enumeration Date
3 June 2006
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6109544000
Graduation Year
1996 (30 years ago)
PAC ID
9931109972
Group Practice PAC ID
6709798333
Professional Enrollment ID
I20061222000048
Address ID
PA180151000BE801XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for DR. LISA ANN REMALEY-WALTERS (MD)

  • 93 WILD ELM AVE

    PONTE VEDRA, FL 320818515

    Phone: (814) 528-3212

    Type: Mailing

  • 801 OSTRUM ST

    BETHLEHEM, PA 180151000

    Phone: (904) 315-6555

    Type: Mailing

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: 2006-12-22

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
I20061222000048IInternal MedicinePATBD

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 32081)

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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: 6709798333View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. LISA ANN REMALEY-WALTERS (MD) in U.S. healthcare records?
The official identifier for DR. LISA ANN REMALEY-WALTERS (MD) is NPI 1578501136.
Active or inactive — what applies to DR. LISA ANN REMALEY-WALTERS (MD)?
You should see DR. LISA ANN REMALEY-WALTERS (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. LISA ANN REMALEY-WALTERS (MD)?
DR. LISA ANN REMALEY-WALTERS (MD)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is DR. LISA ANN REMALEY-WALTERS (MD) associated with Ponte Vedra?
Public fields place DR. LISA ANN REMALEY-WALTERS (MD) around Ponte Vedra, Florida. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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