CODY WALKER (FNP-BC) – Family Nurse Practitioner, NPI 1063391480

CODY WALKER (FNP-BC) is a healthcare provider. based in Oregon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 1211383 (TX). The NPI Number for CODY WALKER (FNP-BC) is 1063391480

Main info

Organization
Sole Proprietor
1 Year Of Experience
Name
CODY WALKER (FNP-BC)
NPI
1063391480
Phone
Not provided
Address
PO BOX 516
Enumeration Date
29 August 2025
Last Update Date
29 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2142722774
Graduation Year
2025 (1 year ago)
PAC ID
9830693910
Group Practice PAC ID
7810329638
Professional Enrollment ID
I20250921000020
Address ID
TX750705109MC5830XPKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CODY WALKER (FNP-BC)

  • PO BOX 516

    OREGON, IL 610610516

    Phone:

    Type: Mailing

  • 5830 COLLIN MCKINNEY PKWY STE 302

    MCKINNEY, TX 750705109

    Phone: (214) 272-2774

    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: 2025-09-21

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
I20250921000020INurse PractitionerTXTBD

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 61061)

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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: 7810329638View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Internal Medicine, Nephrology, Internal Medicine, NephrologyGA
Nurse PractitionerIL
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Registered Dietitian Or Nutrition ProfessionalTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I use this page to confirm CODY WALKER (FNP-BC)'s NPI?
Yes. CODY WALKER (FNP-BC) is listed with NPI 1063391480 in the public NPI dataset.
Does CMS list CODY WALKER (FNP-BC) as active?
Yes — CODY WALKER (FNP-BC) is active in the NPI listing used on this page.
What is CODY WALKER (FNP-BC) best known for clinically?
Directory data describes CODY WALKER (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for CODY WALKER (FNP-BC)?
CODY WALKER (FNP-BC)'s geographic hint is Oregon, Illinois in our summary view.
Is the information about CODY WALKER (FNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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