BENITA WALTON-MOSS C.R.N.P., D.N.SC.
NPI 1124060553
Nurse Practitioner in Baltimore, MD
About Benita Walton-moss C.r.n.p., D.n.sc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENITA WALTON-MOSS C.R.N.P., D.N.SC. (NPI 1124060553) is an individual nurse practitioner in Baltimore, Maryland, licensed in Maryland (R66787) and active in the NPI registry since June 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Benita Walton-moss C.r.n.p., D.n.sc. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
BALTIMORE, MD 21224
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benita Walton-moss's NPI number?
The NPI number for Benita Walton-moss is 1124060553. It was assigned to this individual provider in the NPPES registry on June 11, 2006. The provider is also known as Benita Walton.
Where is Benita Walton-moss located?
Benita Walton-moss practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0519.
What is Benita Walton-moss's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Benita Walton-moss enrolled in Medicare?
No. Benita Walton-moss has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Benita Walton-moss was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Benita Walton-Moss, C.R.N.P., D.N.SC. · NPI 1124060553
Nurse Practitioner physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 11, 2006.
## Identity
- **NPI:** 1124060553 (Entity type: Individual)
- **Enumerated:** June 11, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R66787 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4940 EASTERN AVE, Baltimore, MD 21224-2735
- **Phone:** (410) 550-0519
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124060553) · Data from the CMS NPPES public registry.