JODIAN WALFORD – Psychiatric/Mental Health Nurse Practitioner, NPI 1184583114

JODIAN WALFORD is a healthcare provider. based in Williamsburg, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 209-034441 (IL). The NPI Number for JODIAN WALFORD is 1184583114

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JODIAN WALFORD
NPI
1184583114
Phone
Not provided
Address
5402 LANE PLACE DR APT A
Enumeration Date
16 January 2026
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732482255
Graduation Year
2020 (6 years ago)
PAC ID
1557842168
Group Practice PAC ID
3274951744
Professional Enrollment ID
I20260223000330
Address ID
IL606424327CH1203XBLVD403
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

8,303 NURSE PRACTITIONER in VA

Provider Addresses for JODIAN WALFORD

  • 5402 LANE PLACE DR APT A

    WILLIAMSBURG, VA 231881965

    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: 2026-02-23

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
I20260223000330INurse PractitionerILTBD

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 23188)

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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: 3274951744View full group profile
NameSpecialtyState
Nurse PractitionerNM
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantMI
P S Y C H I A T R YIL
Nurse PractitionerIL
Nurse PractitionerVA
Nurse PractitionerIL

Reviews

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Frequently asked questions

Does JODIAN WALFORD share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JODIAN WALFORD uses 1184583114.
Does the file indicate JODIAN WALFORD is practicing under active NPI?
Directory data currently reports JODIAN WALFORD as active.
What is JODIAN WALFORD's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for JODIAN WALFORD here. Clinical services aligned with this taxonomy classification.
Where is JODIAN WALFORD based?
JODIAN WALFORD is tied to Williamsburg, Virginia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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