ALEXANDRA NICOLE WALTERS (FNP-BC) – Nurse Practitioner, NPI 1316582687

ALEXANDRA NICOLE WALTERS (FNP-BC) is a healthcare provider. based in Evergreen park, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209020072 (IL). The NPI Number for ALEXANDRA NICOLE WALTERS (FNP-BC) is 1316582687

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA NICOLE WALTERS (FNP-BC)
NPI
1316582687
Phone
(708) 346-5562
Address
3545 W 95TH ST
Enumeration Date
11 November 2019
Last Update Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083465562
Graduation Year
2020 (6 years ago)
PAC ID
8921437187
Group Practice PAC ID
4880779727
Professional Enrollment ID
I20200409000852
Address ID
IL608052135EV3545XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ALEXANDRA NICOLE WALTERS (FNP-BC)

  • 3545 W 95TH ST

    EVERGREEN PARK, IL 608052135

    Phone: (708) 346-5562

    Fax: (708) 346-2059

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($67).

Total Amount

$143

General + Research + Ownership

Payments

12

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-04-09

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
I20200409000852INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 60805)

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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: 4880779727View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)PA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)MA

Reviews

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Frequently asked questions

How do I look up ALEXANDRA NICOLE WALTERS (FNP-BC) by NPI?
Use NPI 1316582687 when you need to reference ALEXANDRA NICOLE WALTERS (FNP-BC) in forms, claims, or directories.
Does this profile mean ALEXANDRA NICOLE WALTERS (FNP-BC) is currently active?
Yes — ALEXANDRA NICOLE WALTERS (FNP-BC) appears active in the national provider directory.
Can you summarize ALEXANDRA NICOLE WALTERS (FNP-BC)'s specialty in plain language?
Clinically, the directory lists ALEXANDRA NICOLE WALTERS (FNP-BC) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ALEXANDRA NICOLE WALTERS (FNP-BC) practice in Illinois?
You will see Evergreen Park, Illinois on file for ALEXANDRA NICOLE WALTERS (FNP-BC) alongside any extra practice locations.
How can I contact ALEXANDRA NICOLE WALTERS (FNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.