DOUGLAS H WALTERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114965068

DOUGLAS H WALTERS (CRNA) is a healthcare provider. based in Knoxville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 9438 (TN). The NPI Number for DOUGLAS H WALTERS (CRNA) is 1114965068

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS H WALTERS (CRNA)
NPI
1114965068
Phone
(865) 546-8040
Address
501 20TH ST
Enumeration Date
3 June 2006
Last Update Date
25 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8438810100
Graduation Year
1992 (34 years ago)
PAC ID
9931147535
Group Practice PAC ID
4183153976
Professional Enrollment ID
I20200715003488
Address ID
SC294643764MO2000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

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Provider Addresses for DOUGLAS H WALTERS (CRNA)

  • 501, 20th Street, Fort Sanders, Knoxville, Knox County, Tennessee, 37916, United States

    SUITE 606

    KNOXVILLE, TN 379161809

    Phone: (865) 546-8040

    Fax: (865) 541-2787

    Mailing address matches the actual address.

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: 2020-07-15

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
I20050425000052ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20200715003488ICertified Registered Nurse Anesthetist (Crna)SCTBD

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
01402Anesthesia for procedure for total knee joint replacement2929$0
00670Anesthesia for extensive surgery on spine2727$0
00630Anesthesia for other procedure on lower spine1313$0
01214Anesthesia for total hip replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 37916)

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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: 4183153976View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC
A N E S T H E S I O L O G YSC
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

What is the 10-digit NPI for DOUGLAS H WALTERS (CRNA)?
DOUGLAS H WALTERS (CRNA) — NPI 1114965068 — is the standard way to identify this listing.
Does CMS list DOUGLAS H WALTERS (CRNA) as active?
Yes — DOUGLAS H WALTERS (CRNA) is active in the NPI listing used on this page.
What healthcare role does DOUGLAS H WALTERS (CRNA) hold?
Scheduling teams often label DOUGLAS H WALTERS (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does DOUGLAS H WALTERS (CRNA) serve?
DOUGLAS H WALTERS (CRNA)'s listing highlights Knoxville, Tennessee; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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