TRACI WALTERS PA-C
NPI 1134519465
Physician Assistant in Tinley Park, IL

Q: What is Traci Walters's NPI number?

The NPI number for Traci Walters is 1134519465. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Q: What is Traci Walters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Traci Walters was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment

17495 LA GRANGE RD, TINLEY PARK, IL 60487(708) 226-7173(708) 226-7000 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Jan 6, 2025, Apr 13, 2021 and 2 more (5 updates tracked since 2017).

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About Traci Walters Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACI WALTERS PA-C (NPI 1134519465) is an individual physician assistant in Tinley Park, Illinois, licensed in Illinois (085.005340) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naperville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134519465

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTRACI WALTERSCredential: PA-C

Location Address17495 LA GRANGE RDTinley Park, IL 60487-7581

Mailing AddressPob 7132960Chicago, IL 60677-0001 · (630) 469-9200

Phone(708) 226-7173

Fax(708) 226-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJanuary 26, 2015

Last NPPES UpdateMay 30, 20255 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1134519465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.005340

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17495 LA GRANGE RD, Tinley Park, IL 60487

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Secondary Practice Location 1

Location 11331 W 75th St Ste 402Naperville, IL 60540-9311 · Phone (630) 596-8045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Traci Walters Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577884089

PECOS Enrollment IDI20150610000037

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

205 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

104 services76 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

86 services62 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

79 services59 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

52 services47 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

47 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60487 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BLANCA E HERRERA MD

Emergency Medicine