CAROLYN WALTER (FNP) – Family Nurse Practitioner, NPI 1104846948

CAROLYN WALTER (FNP) is a healthcare provider. based in Radford, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024166954 (VA). The NPI Number for CAROLYN WALTER (FNP) is 1104846948

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN WALTER (FNP)
NPI
1104846948
Phone
(540) 731-3200
Address
701 Randolph St Ste 120
Enumeration Date
21 July 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2005 (21 years ago)
PAC ID
7113926007
Group Practice PAC ID
6709960891
Professional Enrollment ID
I20061202000145
Address ID
VA201766508LE19305DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for CAROLYN WALTER (FNP)

  • 701 Randolph St Ste 120

    Radford, VA 241413047

    Phone: (540) 731-3200

    Fax: (540) 639-1048

    Type: Location

  • 550, North Franklin Street, Echo Hills, Christiansburg, Montgomery County, Virginia, 24073, United States

    CHRISTIANSBURG, VA 240731916

    Phone: (866) 389-2727

    Fax: (401) 652-9787

    Type: Mailing

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: 2015-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1044 days ago).

Enrollment records

2

Earliest due date

2023-07-31

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
I20061202000145INurse PractitionerVA2023-07-31
I20150811004291INurse PractitionerDCTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99213Established patient office or other outpatient visit, 20-29 minutes2422$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1313$0
View full utilization report →

Insurance plans in this area (ZIP 24141)

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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: 6709960891View full group profile

Reviews

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Frequently asked questions

Does CAROLYN WALTER (FNP) have a public NPI I can cite?
Public records show CAROLYN WALTER (FNP) under NPI 1104846948.
Should I treat CAROLYN WALTER (FNP) as an active provider?
Patients and plans typically see CAROLYN WALTER (FNP) as active in the national extract.
Which specialty label fits CAROLYN WALTER (FNP)?
NPPES ties CAROLYN WALTER (FNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CAROLYN WALTER (FNP)?
CAROLYN WALTER (FNP) is associated with Radford, Virginia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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