DONNA R WALTERS (CNM) – Advanced Practice Midwife, NPI 1053665711

DONNA R WALTERS (CNM) is a healthcare provider. based in Marion, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 209009739 (IL). The NPI Number for DONNA R WALTERS (CNM) is 1053665711

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DONNA R WALTERS (CNM)
NPI
1053665711
Phone
(618) 997-5266
Address
3408 OFFICE PARK DR
Enumeration Date
2 November 2012
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189975266
Graduation Year
2017 (9 years ago)
PAC ID
9537459276
Group Practice PAC ID
1759270648
Professional Enrollment ID
I20180717001968
Address ID
IL628645951MO3130XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for DONNA R WALTERS (CNM)

  • 3408 OFFICE PARK DR

    MARION, IL 629596477

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Location

  • 3408 OFFICE PARK DRIVE

    MARION, IL 629596477

    Phone: (618) 997-5266

    Fax: (618) 997-5285

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $692.

Total Amount is formed as General ($692) + Research ($0) + Ownership ($0) = $692.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($235).

Total Amount

$692

General + Research + Ownership

Payments

39

Total payment records

General Amount

$692

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2018-07-17

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
I20180717001968ICertified Nurse Midwife (Cnm)ILTBD

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 62959)

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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: 1759270648View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Certified Nurse Midwife (Cnm)IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
-IL
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What identifier follows DONNA R WALTERS (CNM) across health systems?
The NPI 1053665711 uniquely identifies DONNA R WALTERS (CNM) in U.S. healthcare data.
Is DONNA R WALTERS (CNM) currently accepting referrals based on NPI status?
Registry metadata lists DONNA R WALTERS (CNM) as active.
How should patients interpret DONNA R WALTERS (CNM)'s specialty?
The extract shows Advanced Practice Midwife for DONNA R WALTERS (CNM). Clinical services aligned with this taxonomy classification.
Can patients visit DONNA R WALTERS (CNM) in Marion, Illinois?
For routing, start with Marion, Illinois for DONNA R WALTERS (CNM), then verify phone and hours locally.
Can I export DONNA R WALTERS (CNM)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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