MICHELLE D WALTER (PA) – Medical Physician Assistant, NPI 1124168745

MICHELLE D WALTER (PA) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 008209 (NY). The NPI Number for MICHELLE D WALTER (PA) is 1124168745

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE D WALTER (PA)
NPI
1124168745
Phone
(215) 456-6598
Address
5501 OLD YORK RD
Enumeration Date
7 February 2007
Last Update Date
27 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2124346980
Graduation Year
2001 (25 years ago)
PAC ID
8921368705
Group Practice PAC ID
3375701568
Professional Enrollment ID
I20230112002281
Address ID
NY103053436ST475XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for MICHELLE D WALTER (PA)

  • 5501 OLD YORK RD

    PHILADELPHIA, PA 191413018

    Phone: (215) 456-6598

    Type: Location

  • 1225 WAVERLY WALK

    PHILADELPHIA, PA 191471147

    Phone: (215) 546-6598

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($117).

Total Amount

$147

General + Research + Ownership

Payments

5

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2023-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180216001494IPhysician AssistantPATBD
I20230112002281IPhysician AssistantNYTBD

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
99291Critical care, first 30-74 minutes10367$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2419$0
View full utilization report →

Insurance plans in this area (ZIP 19141)

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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: 3375701568View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NY
Diagnostic RadiologyNY
-NY
Hospitalist, Family PracticeNY
-NY
Infectious DiseaseNC
-NY
-NY
Cardiac Surgery, Vascular SurgeryNY
-CA

Reviews

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Frequently asked questions

Can I verify MICHELLE D WALTER (PA) with an NPI only?
You can start verification with NPI 1124168745 for MICHELLE D WALTER (PA), then check state licensing separately.
Does the file indicate MICHELLE D WALTER (PA) is practicing under active NPI?
Directory data currently reports MICHELLE D WALTER (PA) as active.
What is MICHELLE D WALTER (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for MICHELLE D WALTER (PA) here. Clinical services aligned with this taxonomy classification.
Where is MICHELLE D WALTER (PA) based?
MICHELLE D WALTER (PA) is tied to Philadelphia, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.