ROBERTA ANNE WALTERS (APRN) – Family Nurse Practitioner, NPI 1053840959
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ROBERTA ANNE WALTERS (APRN)
1640 POWERS FERRY RD SE # 15
MARIETTA, GA 300675491
Phone: (770) 971-5870
Type: Mailing
4360 JOHNSON FERRY PL
MARIETTA, GA 300682063
Phone: (770) 971-5870
Type: Location
6230 STILLWATER PL
FLOWERY BRANCH, GA 305425367
Phone: (706) 206-2008
Type: Mailing
601, Northolt Parkway, Suwanee, Gwinnett County, Georgia, 30024, United States
SUWANEE, GA 300244360
Phone: (770) 904-3222
Type: Location
PO BOX 5856
ATLANTA, GA 311070856
Phone: (888) 772-0076
Fax: (770) 751-8014
Type: Mailing
704 BREEDLOVE DR STE A
MONROE, GA 306552054
Phone: (888) 772-0076
Fax: (770) 751-8014
Type: Location
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 $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2023-07-27 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($269).
Total Amount
$269
General + Research + Ownership
Payments
2
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACADIA Pharmaceuticals Inc | $269 |
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: 2017-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170926001310 | I | Nurse Practitioner | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 980 | 341 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 213 | 62 | $0 |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 201 | 150 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 196 | 121 | $0 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 176 | 125 | $0 |
Insurance plans in this area (ZIP 30067)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| - | GA |
Reviews
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