HEATHER JEAN WALKER (AGNP-C) – Nurse Practitioner, NPI 1215799176

HEATHER JEAN WALKER (AGNP-C) is a healthcare provider. based in Jackson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. 4704292902 (MI). The NPI Number for HEATHER JEAN WALKER (AGNP-C) is 1215799176

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER JEAN WALKER (AGNP-C)
NPI
1215799176
Phone
(517) 212-2008
Address
801 ROSEHILL RD
Enumeration Date
26 January 2024
Last Update Date
12 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162723533
Graduation Year
2023 (3 years ago)
PAC ID
4385880541
Group Practice PAC ID
9638422835
Professional Enrollment ID
I20240306003705
Address ID
MI495468602GR770XXSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for HEATHER JEAN WALKER (AGNP-C)

  • 801 ROSEHILL RD

    JACKSON, MI 492021762

    Phone: (517) 212-2008

    Fax: (517) 212-9023

    Type: Mailing

  • 770 KENMOOR AVE SE STE 100

    GRAND RAPIDS, MI 495468602

    Phone: (616) 272-3533

    Fax: (616) 259-4839

    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: 2024-03-06

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
I20240306003705INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49202)

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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: 9638422835View full group profile

Reviews

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Frequently asked questions

What identifier follows HEATHER JEAN WALKER (AGNP-C) across health systems?
The NPI 1215799176 uniquely identifies HEATHER JEAN WALKER (AGNP-C) in U.S. healthcare data.
Should I treat HEATHER JEAN WALKER (AGNP-C) as an active provider?
Patients and plans typically see HEATHER JEAN WALKER (AGNP-C) as active in the national extract.
Which specialty label fits HEATHER JEAN WALKER (AGNP-C)?
NPPES ties HEATHER JEAN WALKER (AGNP-C) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is HEATHER JEAN WALKER (AGNP-C) tied to Jackson, Michigan?
If you are local to Jackson, Michigan, HEATHER JEAN WALKER (AGNP-C) may be relevant to your search.
Who maintains HEATHER JEAN WALKER (AGNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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