SAMANTHA NICOLE WALKER (MA, CF-SLP) – Speech-Language Pathologist, NPI 1114619392

SAMANTHA NICOLE WALKER (MA, CF-SLP) is a healthcare provider. based in Johnston, Iowa. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials MA, CF-SLP. They hold a License No. 120488 (IA). The NPI Number for SAMANTHA NICOLE WALKER (MA, CF-SLP) is 1114619392

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA NICOLE WALKER (MA, CF-SLP)
NPI
1114619392
Phone
Not provided
Address
6440 MERLE HAY RD UNIT 116
Enumeration Date
24 May 2023
Last Update Date
31 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
2023 (3 years ago)
PAC ID
7911345152
Group Practice PAC ID
3870970486
Professional Enrollment ID
I20240405003003
Address ID
IA502119736NO2901XSTXX300

Contacts

Main Contact
https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness95
Years active:3State licenses:1Other names

127 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in IA

Provider Addresses for SAMANTHA NICOLE WALKER (MA, CF-SLP)

  • 6440 MERLE HAY RD UNIT 116

    JOHNSTON, IA 501312525

    Phone:

    Type: Mailing

  • 5530 WEST PKWY STE 300

    JOHNSTON, IA 501312258

    Phone: (515) 419-4270

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-05

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
I20240405003003IQualified Speech Language PathologistIATBD

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 50131)

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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: 3870970486View full group profile
NameSpecialtyState
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIL
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistNJ
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA
Qualified Speech Language PathologistIA

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA NICOLE WALKER (MA, CF-SLP)?
The registry entry for SAMANTHA NICOLE WALKER (MA, CF-SLP) shows NPI 1114619392.
Should I treat SAMANTHA NICOLE WALKER (MA, CF-SLP) as an active provider?
Patients and plans typically see SAMANTHA NICOLE WALKER (MA, CF-SLP) as active in the national extract.
What does the directory say SAMANTHA NICOLE WALKER (MA, CF-SLP) does?
Insurance directories may phrase it differently, but here SAMANTHA NICOLE WALKER (MA, CF-SLP) maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Can patients visit SAMANTHA NICOLE WALKER (MA, CF-SLP) in Johnston, Iowa?
For routing, start with Johnston, Iowa for SAMANTHA NICOLE WALKER (MA, CF-SLP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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