DR. ANDREA JEANNE WALTER (M.D.) – Psychiatry Physician, NPI 1457330417

DR. ANDREA JEANNE WALTER (M.D.) is a healthcare provider. based in Glen rock, New Jersey. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 210161 (MA). The NPI Number for DR. ANDREA JEANNE WALTER (M.D.) is 1457330417

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREA JEANNE WALTER (M.D.)
NPI
1457330417
Phone
(201) 487-1240
Address
65 HARRISTOWN RD
Enumeration Date
10 January 2006
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9733359909
Graduation Year
1998 (28 years ago)
PAC ID
9335134535
Group Practice PAC ID
0042206757
Professional Enrollment ID
I20120601000040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

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Provider Addresses for DR. ANDREA JEANNE WALTER (M.D.)

  • 65, Harristown Road, Glen Rock, Bergen County, New Jersey, 07452, United States

    GLEN ROCK, NJ 074523315

    Phone: (201) 487-1240

    Fax: (201) 487-1241

    Type: Location

  • 113, Merritt Drive, Oradell, Bergen County, New Jersey, 07649, United States

    ORADELL, NJ 076491822

    Phone: (917) 855-2511

    Type: Mailing

  • 890 MOUNTAIN AVE

    NEW PROVIDENCE, NJ 079741218

    Phone: (908) 277-8900

    Fax: (908) 508-8919

    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: 2012-06-01

PECOS data refreshed: 2026-06-15

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
I20120601000040IPsychiatryNJTBD

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

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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 07452)

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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: 0042206757View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. ANDREA JEANNE WALTER (M.D.)?
The registry entry for DR. ANDREA JEANNE WALTER (M.D.) shows NPI 1457330417.
Quick check: is DR. ANDREA JEANNE WALTER (M.D.) active?
Public NPPES data shows DR. ANDREA JEANNE WALTER (M.D.) with an active NPI status right now.
What type of care does DR. ANDREA JEANNE WALTER (M.D.) provide?
DR. ANDREA JEANNE WALTER (M.D.)'s profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANDREA JEANNE WALTER (M.D.)?
The directory associates DR. ANDREA JEANNE WALTER (M.D.) with Glen Rock, New Jersey. Check all listed addresses for suites or satellite offices.
Who maintains DR. ANDREA JEANNE WALTER (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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