ANNICA E WAALKES (MD) – Family Medicine Physician, NPI 1538116199

ANNICA E WAALKES (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301087005 (MI). The NPI Number for ANNICA E WAALKES (MD) is 1538116199

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ANNICA E WAALKES (MD)
NPI
1538116199
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
28 May 2006
Last Update Date
18 February 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6163915600
Graduation Year
1999 (27 years ago)
PAC ID
3072525237
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20060707000169
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
awaalkes5855@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,418 FAMILY PRACTICE in MI

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Provider Addresses for ANNICA E WAALKES (MD)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Spectrum Health Zeeland Community Hospital, 8333, Felch Street, Zeeland Charter Township, Ottawa County, Michigan, 49464, United States of America

    SUITE 200

    ZEELAND, MI 494649666

    Phone: (616) 772-4846

    Fax: (616) 748-2855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $49.

Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.

Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Novo Nordisk Inc ($49).

Total Amount

$49

General + Research + Ownership

Payments

3

Total payment records

General Amount

$49

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$49
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: 2006-07-07

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
I20060707000169IFamily PracticeMITBD

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 49503)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
Geriatric Medicine, Internal MedicineMI
-MI
-MI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up ANNICA E WAALKES (MD) by NPI?
Use NPI 1538116199 when you need to reference ANNICA E WAALKES (MD) in forms, claims, or directories.
Is ANNICA E WAALKES (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ANNICA E WAALKES (MD)?
The page reflects Family Medicine Physician for ANNICA E WAALKES (MD). Clinical services aligned with this taxonomy classification.
Where is ANNICA E WAALKES (MD)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for ANNICA E WAALKES (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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