WALK IN CLINIC – Primary Care Nurse Practitioner, NPI 1639621824
Primary Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for WALK IN CLINIC
5059 N High St
Columbus, OH 432141589
Phone: (614) 987-7537
Fax: (614) 987-7548
Type: Location
1321 Bellefontaine St Ste 100
Wapakoneta, OH 458958769
Phone: (567) 356-4054
Fax: (567) 356-4056
Type: Location
5801 Tamarack Blvd
Columbus, OH 432293747
Phone: (614) 436-6009
Fax: (614) 436-6361
Type: Location
175 Edgefield Blvd
Marion, OH 433027821
Phone: (740) 751-6433
Fax: (740) 751-6437
Type: Location
36000 Detroit Rd Ste 200
Avon, OH 440111641
Phone: (440) 937-8074
Fax: (440) 937-8725
Type: Location
7081 PALMER CT
DUBLIN, OH 430177976
Phone: (740) 914-4178
Fax: (740) 386-2640
Type: Mailing
Walk In Urgent Care, 375, North Lexington-Springmill Road, Ontario, Springfield Township, Richland County, Ohio, 44906, United States
ONTARIO, OH 449063812
Phone: (419) 528-0047
Fax: (419) 528-0094
Type: Location
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.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (770 days ago).
Enrollment records
1
Earliest due date
2024-04-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20111208000530 | O | Clinic/Group Practice | OH | 2024-04-30 |
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.
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 43214)
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