KADEY WALTERS (FNP) – Family Nurse Practitioner, NPI 1720847668

KADEY WALTERS (FNP) is a healthcare provider. based in Davie, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11031802 (FL). The NPI Number for KADEY WALTERS (FNP) is 1720847668

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KADEY WALTERS (FNP)
NPI
1720847668
Phone
(727) 710-8030
Address
1518 WHITEHALL DR APT 304
Enumeration Date
14 March 2024
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549986359
Graduation Year
2023 (3 years ago)
PAC ID
1456890557
Group Practice PAC ID
0143575845
Professional Enrollment ID
I20240903001365
Address ID
FL333172358PL333XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KADEY WALTERS (FNP)

  • 1518 WHITEHALL DR APT 304

    DAVIE, FL 333246637

    Phone: (727) 710-8030

    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)

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: 2024-09-03

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
I20240903001365INurse 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 33324)

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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: 0143575845View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerMI
Nurse PractitionerFL
Pain Management, AnesthesiologyFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm KADEY WALTERS (FNP)'s NPI?
Yes. KADEY WALTERS (FNP) is listed with NPI 1720847668 in the public NPI dataset.
Is KADEY WALTERS (FNP) still practicing?
KADEY WALTERS (FNP) is currently listed as active in the public NPI registry.
What is KADEY WALTERS (FNP) best known for clinically?
Directory data describes KADEY WALTERS (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KADEY WALTERS (FNP) serve?
KADEY WALTERS (FNP)'s listing highlights Davie, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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