REBECCA WALTER (NP) – Nurse Practitioner, NPI 1174833560

REBECCA WALTER (NP) is a healthcare provider. based in Saint joseph, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704152349 (MI). The NPI Number for REBECCA WALTER (NP) is 1174833560

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA WALTER (NP)
NPI
1174833560
Phone
(269) 428-3500
Address
183 PEACE BLVD
Enumeration Date
19 October 2010
Last Update Date
19 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
7416119664
Group Practice PAC ID
5890688444
Professional Enrollment ID
I20120503000643
Address ID
MI490859146ST183XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for REBECCA WALTER (NP)

  • 183 PEACE BLVD

    SAINT JOSEPH, MI 490859146

    Phone: (269) 428-3500

    Fax: (269) 429-6429

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $314.

Total Amount is formed as General ($314) + Research ($0) + Ownership ($0) = $314.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($137).

Total Amount

$314

General + Research + Ownership

Payments

4

Total payment records

General Amount

$314

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

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: 2012-05-03

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
I20120503000643INurse PractitionerMITBD

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
27447Replacement of knee joint, both sides of knee3434$0
27130Replacement of thigh bone and hip joint with prosthesis2827$0
23472Prosthetic repair of shoulder joint, total shoulder2222$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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: 5890688444View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-CA
Orthopedic SurgeryMI
-MI
-MI
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Where can patients find REBECCA WALTER (NP)'s NPI?
You can confirm REBECCA WALTER (NP) with NPI 1174833560; it appears in the national provider directory.
Is REBECCA WALTER (NP) active in the national directory?
REBECCA WALTER (NP)'s public NPI profile is in an active state.
What kind of provider is REBECCA WALTER (NP)?
The page reflects Nurse Practitioner for REBECCA WALTER (NP). Clinical services aligned with this taxonomy classification.
Where is REBECCA WALTER (NP)'s primary listing?
We display Saint Joseph, Michigan because that is what the record indicates for REBECCA WALTER (NP).
How can I contact REBECCA WALTER (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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