DAVID CLAYTON WALTHALL (FNP, MSN, BSN) – Family Nurse Practitioner, NPI 1619477965

DAVID CLAYTON WALTHALL (FNP, MSN, BSN) is a healthcare provider. based in Chicago, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials FNP, MSN, BSN. They hold a License No. 209.017198 (IL). The NPI Number for DAVID CLAYTON WALTHALL (FNP, MSN, BSN) is 1619477965

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DAVID CLAYTON WALTHALL (FNP, MSN, BSN)
NPI
1619477965
Phone
Not provided
Address
1340 S DAMEN AVE
Enumeration Date
13 February 2018
Last Update Date
13 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129977296
Graduation Year
2017 (9 years ago)
PAC ID
1850653296
Group Practice PAC ID
7012160518
Professional Enrollment ID
I20180322000999
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID CLAYTON WALTHALL (FNP, MSN, BSN)

  • Illinois Action for Children, 1340, South Damen Avenue, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60608, United States

    CHICAGO, IL 606081169

    Phone:

    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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 60608)

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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: 7012160518View full group profile

Reviews

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Frequently asked questions

Does DAVID CLAYTON WALTHALL (FNP, MSN, BSN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DAVID CLAYTON WALTHALL (FNP, MSN, BSN) uses 1619477965.
Is DAVID CLAYTON WALTHALL (FNP, MSN, BSN) listed as active for patients and plans?
The listing shows DAVID CLAYTON WALTHALL (FNP, MSN, BSN) as active in the NPI system.
What healthcare role does DAVID CLAYTON WALTHALL (FNP, MSN, BSN) hold?
Scheduling teams often label DAVID CLAYTON WALTHALL (FNP, MSN, BSN) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DAVID CLAYTON WALTHALL (FNP, MSN, BSN) list a practice location?
Patients near Chicago, Illinois may find DAVID CLAYTON WALTHALL (FNP, MSN, BSN) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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