KATIE WALKER (FNP) – Nurse Practitioner, NPI 1669343596

KATIE WALKER (FNP) is a healthcare provider. based in West jordan, Utah. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11303669-4405 (UT). The NPI Number for KATIE WALKER (FNP) is 1669343596

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KATIE WALKER (FNP)
NPI
1669343596
Phone
Not provided
Address
3590 W 9000 S
Enumeration Date
15 September 2025
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017565293
Graduation Year
2024 (2 years ago)
PAC ID
0446757926
Group Practice PAC ID
2163931106
Professional Enrollment ID
I20251009003193
Address ID
UT840031717AM350XX300X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for KATIE WALKER (FNP)

  • 3590 W 9000 S

    WEST JORDAN, UT 840888857

    Phone:

    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: 2025-10-09

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
I20251009003193INurse PractitionerUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84088)

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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: 2163931106View full group profile
NameSpecialtyState
Physician AssistantUT
Nurse PractitionerOH
Physical Medicine And RehabilitationUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is the registry number for KATIE WALKER (FNP)?
The registry entry for KATIE WALKER (FNP) shows NPI 1669343596.
Does the public listing show KATIE WALKER (FNP) as active?
KATIE WALKER (FNP)'s NPI record reflects an active status in NPPES.
What services align with KATIE WALKER (FNP)'s listing?
KATIE WALKER (FNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KATIE WALKER (FNP) tied to West Jordan, Utah?
If you are local to West Jordan, Utah, KATIE WALKER (FNP) may be relevant to your search.
Why is information missing for KATIE WALKER (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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