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KAYLIN WALTERS PA
NPI 1164045142
Physician Assistant - Medical in Grand Rapids, MI

Active since May 25, 2020PECOS EnrolledAccepts Medicare Assignment
655 KENMOOR AVE SE STE 101, GRAND RAPIDS, MI 49546(616) 900-9911(616) 900-9862 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2026, Jun 27, 2025, Dec 20, 2021 and 4 more (7 updates tracked since 2020).

About Kaylin Walters Pa NPPES

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

KAYLIN WALTERS PA (NPI 1164045142) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601010540) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164045142
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAYLIN WALTERSCredential: PA
Location Address655 KENMOOR AVE SE STE 101Grand Rapids, MI 49546-8622
Mailing Address655 Kenmoor Ave Se Ste 101Grand Rapids, MI 49546-8622 · (616) 900-9911 · Fax (616) 900-9862
Phone(616) 900-9911
Fax(616) 900-9862
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 25, 2020
Last NPPES UpdateApril 13, 20267 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1164045142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601010540
655 KENMOOR AVE SE STE 101, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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

Kaylin Walters Pa 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 ID3971913856
PECOS Enrollment IDI20250804001961
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY JUDITH GARDNER NP
Nurse Practitioner (Gerontology)
655 KENMOOR AVE SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 900-9911
RONALD VANDERLAAN MD
Internal Medicine (Cardiovascular Disease)
655 KENMOOR AVE SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 900-9911
RONALD VANDERLAAN, MD, PLLC
Internal Medicine (Cardiovascular Disease)
655 KENMOOR AVE SE STE 101
GRAND RAPIDS, MI 49546
Kent County (616) 900-9911

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 Kaylin Walters's NPI number?

The NPI number for Kaylin Walters is 1164045142. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Where is Kaylin Walters located?

Kaylin Walters practices at 655 Kenmoor Ave SE Ste 101, Grand Rapids, MI 49546. The listed phone number is (616) 900-9911.

What is Kaylin Walters's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kaylin Walters enrolled in Medicare?

Yes. Kaylin Walters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaylin Walters accept?

Health plans from Priority Health list Kaylin Walters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaylin Walters affiliated with any hospitals?

According to CMS data, Kaylin Walters is affiliated with Spectrum Health and Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Kaylin Walters was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.