JEANNINE T WALTERS (DO) – Emergency Medicine Physician, NPI 1699717629
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JEANNINE T WALTERS (DO)
500 W Fort St
# 111
Boise, ID 837024501
Phone: (208) 422-1325
Type: Location
Beet Box, 1030, East 22nd Avenue, Five Points, Denver, Denver County, Colorado, 80205, United States
DENVER, CO 802173817
Phone: (303) 306-7783
Fax: (303) 306-7753
Type: Mailing
2000, North Boise Avenue, Browns Corner, Loveland, Larimer County, Colorado, 80538, United States
LOVELAND, CO 805385006
Phone: (970) 635-4071
Fax: (970) 635-4177
Type: Location
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: 2012-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041130000843 | I | Emergency Medicine | ID | TBD |
| I20120815000079 | I | Emergency Medicine | CO | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 14 | 14 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 13 | 13 | $0 |
Insurance plans in this area (ZIP 83702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | ID | |
| Physician Assistant | AZ | |
| Nurse Practitioner | ID | |
| - | ID | |
| Emergency Medicine | CA | |
| Emergency Medicine | ID | |
| - | ID | |
| Emergency Medicine | CA | |
| Physician Assistant | NC | |
| Emergency Medicine | TX |
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