MS. BEVERLEY P WALKER (PA-C) – Pediatrics Physician, NPI 1629149067

MS. BEVERLEY P WALKER (PA-C) is a healthcare provider. based in Winter haven, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA3581 (FL). The NPI Number for MS. BEVERLEY P WALKER (PA-C) is 1629149067

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. BEVERLEY P WALKER (PA-C)
NPI
1629149067
Phone
(863) 293-2144
Address
550 POPE AVE NW
Enumeration Date
9 November 2006
Last Update Date
7 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136085633
Graduation Year
1998 (28 years ago)
PAC ID
2163926510
Group Practice PAC ID
7214394972
Professional Enrollment ID
I20250918001424
Address ID
FL336072388TA2203XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MS. BEVERLEY P WALKER (PA-C)

  • 550, Pope Avenue, Winter Haven, Polk County, Florida, 33881, United States

    WINTER HAVEN, FL 338814679

    Phone: (863) 293-2144

    Fax: (863) 293-3732

    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 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-06-30 • Largest payer in this snapshot: Corium, LLC ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Corium, LLC$17
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: 2025-09-18

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
I20250918001424IPhysician 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 33881)

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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: 7214394972View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerVA
General SurgeryFL
Nurse PractitionerFL
Nurse PractitionerMD
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify MS. BEVERLEY P WALKER (PA-C) for billing?
Administrative and clinical systems typically use NPI 1629149067 for MS. BEVERLEY P WALKER (PA-C).
Does the public listing show MS. BEVERLEY P WALKER (PA-C) as active?
MS. BEVERLEY P WALKER (PA-C)'s NPI record reflects an active status in NPPES.
What type of care does MS. BEVERLEY P WALKER (PA-C) provide?
MS. BEVERLEY P WALKER (PA-C)'s profile centers on Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. BEVERLEY P WALKER (PA-C)?
MS. BEVERLEY P WALKER (PA-C) is associated with Winter Haven, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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