KEVIN L WALTERS (M.D.) – Family Medicine Physician, NPI 1770524035

KEVIN L WALTERS (M.D.) is a healthcare provider. based in Wadena, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 37842 (MN). The NPI Number for KEVIN L WALTERS (M.D.) is 1770524035

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN L WALTERS (M.D.)
NPI
1770524035
Phone
(218) 631-3510
Address
415 JEFFERSON ST NORTH
Enumeration Date
9 June 2006
Last Update Date
22 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
2186311360
Graduation Year
1992 (34 years ago)
PAC ID
1153402896
Group Practice PAC ID
2961395272
Professional Enrollment ID
I20080118000407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for KEVIN L WALTERS (M.D.)

  • Tri-County Health Care, 415, Jefferson Street North, Wadena, Wadena County, Minnesota, 56482, United States

    TRI-COUNTY HOSPITAL

    WADENA, MN 564821296

    Phone: (218) 631-3510

    Fax: (218) 631-7587

    Type: Mailing

  • 4 DEERWOOD AVE NW

    TRI-COUNTY HEALTH CARE WADENA CLINIC

    WADENA, MN 564821296

    Phone: (218) 631-1360

    Fax: (218) 631-7507

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 56482)

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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: 2961395272View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
-MN
Clinical Social WorkerMN
-MN
U R O L O G YMA
Emergency MedicineMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN

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Frequently asked questions

Can I use this page to confirm KEVIN L WALTERS (M.D.)'s NPI?
Yes. KEVIN L WALTERS (M.D.) is listed with NPI 1770524035 in the public NPI dataset.
Does the file indicate KEVIN L WALTERS (M.D.) is practicing under active NPI?
Directory data currently reports KEVIN L WALTERS (M.D.) as active.
What is KEVIN L WALTERS (M.D.)'s specialty?
The listing groups KEVIN L WALTERS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KEVIN L WALTERS (M.D.) list a practice location?
Patients near Wadena, Minnesota may find KEVIN L WALTERS (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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