STEPHANIE LEEANN WALZ (AGNP) – Nurse Practitioner, NPI 1457906026

STEPHANIE LEEANN WALZ (AGNP) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP. They hold a License No. 71009394A (IN). The NPI Number for STEPHANIE LEEANN WALZ (AGNP) is 1457906026

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE LEEANN WALZ (AGNP)
NPI
1457906026
Phone
(317) 880-6722
Address
720 ESKENAZI AVE STE F2-600
Enumeration Date
9 August 2019
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5715171564
Graduation Year
2019 (7 years ago)
PAC ID
7911238456
Group Practice PAC ID
3678017233
Professional Enrollment ID
I20250404000140
Address ID
MD212042370TO100XXRDXX302
Telehealth
Yes

Contacts

Secure Messaging
swestfall70772@direct.eskenazihealth.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:6State licenses:2Other names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for STEPHANIE LEEANN WALZ (AGNP)

  • 720 ESKENAZI AVE STE F2-600

    INDIANAPOLIS, IN 462025187

    Phone: (317) 880-6722

    Type: Mailing

  • 720 ESKENAZI AVE

    FIFTH THIRD BANK BLDG, 5TH FL

    INDIANAPOLIS, IN 462025166

    Phone: (317) 880-4121

    Fax: (317) 880-0343

    Type: Mailing

  • PO BOX 637764

    CINCINNATI, OH 452637764

    Phone: (317) 880-3939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($127).

Total Amount

$232

General + Research + Ownership

Payments

3

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

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: 2025-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20191014002779INurse PractitionerINTBD
I20250130001264INurse PractitionerDCTBD
I20250218003829INurse PractitionerVATBD
I20250404000140INurse PractitionerMDTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5856$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4532$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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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: 3678017233View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerFL
Neurology, PsychiatryCT
N E U R O L O G YIL

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE LEEANN WALZ (AGNP)'s NPI?
Yes. STEPHANIE LEEANN WALZ (AGNP) is listed with NPI 1457906026 in the public NPI dataset.
Does the file indicate STEPHANIE LEEANN WALZ (AGNP) is practicing under active NPI?
Directory data currently reports STEPHANIE LEEANN WALZ (AGNP) as active.
What is STEPHANIE LEEANN WALZ (AGNP)'s specialty?
The listing groups STEPHANIE LEEANN WALZ (AGNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect STEPHANIE LEEANN WALZ (AGNP) on a map?
Expect Indianapolis, Indiana as a primary anchor for STEPHANIE LEEANN WALZ (AGNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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