CONNIE M WALKER (P.A.-C.) – Medical Physician Assistant, NPI 1407871718

CONNIE M WALKER (P.A.-C.) is a healthcare provider. based in Port angeles, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C.. They hold a License No. PA10004038 (WA). The NPI Number for CONNIE M WALKER (P.A.-C.) is 1407871718

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
CONNIE M WALKER (P.A.-C.)
NPI
1407871718
Phone
(360) 565-9240
Address
PO BOX 850
Enumeration Date
13 July 2006
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606835900
Graduation Year
1999 (27 years ago)
PAC ID
1759385032
Group Practice PAC ID
2365349495
Professional Enrollment ID
I20060828000522
Address ID
WA983823626SE526XXAVEX400
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

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for CONNIE M WALKER (P.A.-C.)

  • PO BOX 850

    PORT ANGELES, WA 983620146

    Phone: (360) 565-9240

    Fax: (360) 565-9241

    Type: Mailing

  • 433, East 8th Street, Port Angeles, Clallam County, Washington, 98362, United States

    PORT ANGELES, WA 983626219

    Phone: (360) 452-3373

    Fax: (360) 457-2163

    Type: Location

  • 808 N 5TH AVE

    SEQUIM, WA 983823045

    Phone: (360) 683-5900

    Fax: (360) 523-4800

    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: 2006-08-28

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
I20060828000522IPhysician AssistantWATBD

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
85610Blood test, clotting time12793$0
81003Automated urinalysis test7768$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing3937$0
80305Testing for presence of drug, read by direct observation1412$0
82962Blood glucose (sugar) test performed by hand-held instrument1412$0
View full utilization report →

Insurance plans in this area (ZIP 98362)

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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: 2365349495View full group profile
NameSpecialtyState
Physician AssistantWA
-WA
Physician AssistantWA
Nurse PractitionerWA
Family PracticeWA
Family PracticeWA
-WA
Nurse PractitionerWA
Family PracticeID
Family PracticeWA

Reviews

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Frequently asked questions

Can I use this page to confirm CONNIE M WALKER (P.A.-C.)'s NPI?
Yes. CONNIE M WALKER (P.A.-C.) is listed with NPI 1407871718 in the public NPI dataset.
Can I rely on CONNIE M WALKER (P.A.-C.) being an active provider?
As of the registry snapshot, CONNIE M WALKER (P.A.-C.) is marked active.
What taxonomy line describes CONNIE M WALKER (P.A.-C.)?
For research purposes, treat CONNIE M WALKER (P.A.-C.) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What area does CONNIE M WALKER (P.A.-C.) serve?
CONNIE M WALKER (P.A.-C.)'s listing highlights Port Angeles, Washington; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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