ANGELA WALKER (DO) – Obstetrics & Gynecology Physician, NPI 1609936442

ANGELA WALKER (DO) is a healthcare provider. based in Kewanee, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. 036117158 (IL). The NPI Number for ANGELA WALKER (DO) is 1609936442

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA WALKER (DO)
NPI
1609936442
Phone
(309) 852-7700
Address
PO BOX 747
Enumeration Date
11 December 2006
Last Update Date
21 December 2016

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
7732334100
Graduation Year
2002 (24 years ago)
PAC ID
5597766030
Group Practice PAC ID
4284533183
Professional Enrollment ID
I20130522000645
Address ID
IL604091902CA364XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,734 OBSTETRICS/GYNECOLOGY in MI

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Provider Addresses for ANGELA WALKER (DO)

  • PO BOX 747

    KEWANEE, IL 614438354

    Phone: (309) 852-7700

    Fax: (309) 852-7764

    Type: Mailing

  • Beaumont Hospital, Grosse Pointe, 468, Cadieux Road, Grosse Pointe, Wayne County, Michigan, 48230, United States

    GROSSE POINTE, MI 482301507

    Phone: (516) 286-2240

    Fax: (309) 852-7764

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,116.

Total Amount is formed as General ($1,116) + Research ($0) + Ownership ($0) = $1,116.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ViiV Healthcare Company ($511).

Total Amount

$1,116

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2007-01-25

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
I20070125000233IObstetrics/GynecologyILTBD

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 61443)

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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: 4284533183View full group profile
NameSpecialtyState
Nurse PractitionerIL
Internal MedicineIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Internal Medicine, Addiction MedicineIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

What is ANGELA WALKER (DO)'s NPI number?
ANGELA WALKER (DO)'s NPI is 1609936442 — the number used across U.S. healthcare to identify this provider.
Is ANGELA WALKER (DO) shown as active in public data?
Registry records indicate ANGELA WALKER (DO) maintains an active NPI.
What kind of doctor is ANGELA WALKER (DO)?
ANGELA WALKER (DO) is associated with Obstetrics & Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANGELA WALKER (DO)?
Travel planning: use Kewanee, Illinois as the reference point for ANGELA WALKER (DO), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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