MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1023449642

MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) is a healthcare provider. based in Prince frederick, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials RN/NP, PMHNP-BC. They hold a License No. RN2274139 (MA). The NPI Number for MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) is 1023449642

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY GORDON WALTER (RN/NP, PMHNP-BC)
NPI
1023449642
Phone
(410) 535-5400
Address
976 SOLOMANS ISLAND ROAD
Enumeration Date
7 December 2013
Last Update Date
29 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4109383367
Graduation Year
2013 (13 years ago)
PAC ID
2567687767
Group Practice PAC ID
8224937610
Professional Enrollment ID
I20161003001632
Address ID
MD206784017PR100XXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MS. MARY GORDON WALTER (RN/NP, PMHNP-BC)

  • 976 SOLOMANS ISLAND ROAD

    PRINCE FREDERICK, MD 20678

    Phone: (410) 535-5400

    Type: Location

  • 975 SOLOMONS ISLAND RD N

    PRINCE FREDERICK, MD 206783917

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $817.

Total Amount is formed as General ($817) + Research ($0) + Ownership ($0) = $817.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($228).

Total Amount

$817

General + Research + Ownership

Payments

65

Total payment records

General Amount

$817

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2017-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20161003001632INurse PractitionerMDTBD
I20171003006545INurse PractitionerDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes356106$0
96372Injection of drug or substance under skin or into muscle16220$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4020$0
90792Psychiatric diagnostic evaluation with medical services2424$0
View full utilization report →

Insurance plans in this area (ZIP 20678)

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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: 8224937610View full group profile

Reviews

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Frequently asked questions

How is MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) with NPI 1023449642.
Does CMS list MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) as active?
Yes — MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) is active in the NPI listing used on this page.
What healthcare role does MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) hold?
Scheduling teams often label MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) based?
MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) is tied to Prince Frederick, Maryland in the data we show; additional addresses may exist on the full record.
Is the information about MS. MARY GORDON WALTER (RN/NP, PMHNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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