TERESA RENEE WALTERS – Family Nurse Practitioner, NPI 1255090965

TERESA RENEE WALTERS is a healthcare provider. based in Lima, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.0029705 (OH). The NPI Number for TERESA RENEE WALTERS is 1255090965

Main info

Female
5 Years Of Experience
Name
TERESA RENEE WALTERS
NPI
1255090965
Phone
(419) 228-3335
Address
1001 BELLEFONTAINE AVE
Enumeration Date
9 December 2021
Last Update Date
27 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4199988207
Graduation Year
2021 (5 years ago)
PAC ID
2264828367
Group Practice PAC ID
1254232184
Professional Enrollment ID
I20220329001126
Address ID
OH458041867LI1003XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TERESA RENEE WALTERS

  • 1001 BELLEFONTAINE AVE

    LIMA, OH 458042800

    Phone: (419) 228-3335

    Type: Mailing

  • 1003 BELLEFONTAINE AVE STE 125

    LIMA, OH 458041867

    Phone: (419) 998-8207

    Fax: (419) 998-8216

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Innovation Technologies Inc ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2022-03-29

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
I20220329001126INurse PractitionerOHTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes17570$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes8472$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6727$0
99213Established patient office or other outpatient visit, 20-29 minutes4725$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4436$0
View full utilization report →

Insurance plans in this area (ZIP 45804)

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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: 1254232184View full group profile
NameSpecialtyState
Radiation OncologyOH
Certified Registered Nurse Anesthetist (Crna)OH
Family PracticeOH
Physician AssistantOH
Physician AssistantOH
Physician AssistantOH
Nurse PractitionerOH
Colorectal Surgery (Proctology)OH
Physician AssistantOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How do I look up TERESA RENEE WALTERS by NPI?
Use NPI 1255090965 when you need to reference TERESA RENEE WALTERS in forms, claims, or directories.
Is TERESA RENEE WALTERS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does TERESA RENEE WALTERS treat or focus on?
Patients typically see TERESA RENEE WALTERS under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place TERESA RENEE WALTERS?
The snapshot lists Lima, Ohio for TERESA RENEE WALTERS; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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