STACIE LOUISE WALKER N.P. NPI 1700844545

NPI Information

  • NPI: 1700844545
  • Provider Name: STACIE LOUISE WALKER, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1840 WEALTHY ST SE
    MC 426
    GRAND RAPIDS, MI
    ZIP 49506
  • Phone: (616) 774-5221

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NPI Details

Stacie Louise Walker, N.P. is a family nurse practitioner in Grand Rapids, MI with 20 years of experience. Stacie Louise Walker, N.P. NPI is 1700844545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1840 WEALTHY ST SE
MC 426
GRAND RAPIDS, MI
ZIP 49506-921
Phone: (616) 774-5221
Fax: (616) 774-5391

The NPI 1700844545 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

The enumeration date for this NPI number is 5/2/2006 and was last updated on 8/13/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704230394MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N43480018MEDICARE PIN
2Q68116MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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