KATHERINE COLLEEN WALKER (NP) – Nurse Practitioner, NPI 1063136547
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for KATHERINE COLLEEN WALKER (NP)
26677 W 12 Mile Rd Ste 166
Southfield, MI 480341514
Phone: (313) 306-2023
Type: Location
805 3RD ST
FENTON, MI 484304121
Phone: (248) 730-2528
Type: Mailing
26677 W 12 MILE RD STE 166
SOUTHFIELD, MI 480341514
Phone: (313) 306-2023
Type: Location
PO BOX 639295 DEPT 93394
CINCINNATI, OH 452639295
Phone: (248) 266-4200
Fax: (855) 618-6655
Type: Mailing
500 KIRTS BLVD STE 100
TROY, MI 480844135
Phone: (248) 824-6000
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: 2025-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250326003368 | I | Nurse Practitioner | MI | TBD |
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.
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 48034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Hospitalist, Internal Medicine | LA | |
| Hospitalist, Internal Medicine | OH | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine, Hospitalist, Internal Medicine | WA | |
| Hospitalist, Internal Medicine | MI | |
| Internal Medicine | UT | |
| Physician Assistant | OH | |
| - | MI |
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