NICKOLAS TYLER WALKER (M.D.) – Emergency Medicine Physician, NPI 1912266289

NICKOLAS TYLER WALKER (M.D.) is a healthcare provider. based in Clarksville, Tennessee. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 53039 (TN). The NPI Number for NICKOLAS TYLER WALKER (M.D.) is 1912266289

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
NICKOLAS TYLER WALKER (M.D.)
NPI
1912266289
Phone
(931) 502-1300
Address
651 DUNLOP LN
Enumeration Date
8 May 2012
Last Update Date
12 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6153163600
Graduation Year
2012 (14 years ago)
PAC ID
3971819632
Group Practice PAC ID
0941439368
Professional Enrollment ID
I20150826002071
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for NICKOLAS TYLER WALKER (M.D.)

  • 651 DUNLOP LN

    CLARKSVILLE, TN 370405015

    Phone: (931) 502-1300

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-04-07 • Largest payer in this snapshot: CSL Behring ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$28
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: 2015-08-26

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
I20150826002071IEmergency MedicineTNTBD

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
99284Emergency department visit with moderate level of medical decision making190188$0
99285Emergency department visit with high level of medical decision making122117$0
99283Emergency department visit with low level of medical decision making7676$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3129$0
99282Emergency department visit with straightforward medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 37040)

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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: 0941439368View full group profile

Reviews

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Frequently asked questions

What NPI should I save for NICKOLAS TYLER WALKER (M.D.)?
Save NPI 1912266289 if you need a stable reference for NICKOLAS TYLER WALKER (M.D.).
Is NICKOLAS TYLER WALKER (M.D.) active in the national directory?
NICKOLAS TYLER WALKER (M.D.)'s public NPI profile is in an active state.
Can you summarize NICKOLAS TYLER WALKER (M.D.)'s specialty in plain language?
Clinically, the directory lists NICKOLAS TYLER WALKER (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NICKOLAS TYLER WALKER (M.D.) practice in Tennessee?
You will see Clarksville, Tennessee on file for NICKOLAS TYLER WALKER (M.D.) alongside any extra practice locations.
What if Clarksville, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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