DEREK WALTON (CRNA) – Registered Nurse, NPI 1225581226

DEREK WALTON (CRNA) is a healthcare provider. based in Lafayette, Indiana. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 28184479A (IN). The NPI Number for DEREK WALTON (CRNA) is 1225581226

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DEREK WALTON (CRNA)
NPI
1225581226
Phone
(765) 448-8000
Address
PO BOX 5545
Enumeration Date
27 July 2016
Last Update Date
10 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178717308
Graduation Year
2009 (17 years ago)
PAC ID
9436431996
Group Practice PAC ID
7618291550
Professional Enrollment ID
I20170118002903
Address ID
IN462601975IN8424XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN

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Provider Addresses for DEREK WALTON (CRNA)

  • Prophetstown Aquatic Center, 5545, Swisher Road, West Lafayette, Tippecanoe County, Indiana, 47906, United States

    LAFAYETTE, IN 479035545

    Phone: (765) 448-8000

    Type: Mailing

  • 2600, Greenbush Street, Eastwich, Lafayette, Tippecanoe County, Indiana, 47904, United States

    LAFAYETTE, IN 479042477

    Phone: (765) 448-8000

    Fax: (765) 838-5150

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($118).

Total Amount

$133

General + Research + Ownership

Payments

2

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2017-01-18

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
I20170118002903ICertified Registered Nurse Anesthetist (Crna)INTBD

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 47903)

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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: 7618291550View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN
-IN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

How is DEREK WALTON (CRNA) identified in CMS data?
CMS-hosted NPPES data lists DEREK WALTON (CRNA) with NPI 1225581226.
Does the file indicate DEREK WALTON (CRNA) is practicing under active NPI?
Directory data currently reports DEREK WALTON (CRNA) as active.
What is DEREK WALTON (CRNA)'s specialty?
The listing groups DEREK WALTON (CRNA) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Does DEREK WALTON (CRNA) list a practice location?
Patients near Lafayette, Indiana may find DEREK WALTON (CRNA) in results; validate coverage separately.
Why does DEREK WALTON (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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