CAROLINE L WALTERS PA-C
NPI 1235740689
Physician Assistant in South Bend, IN

Q: What is Caroline Walters's NPI number?

The NPI number for Caroline Walters is 1235740689. It was assigned to this individual provider in the NPPES registry on August 10, 2020.

Q: What is Caroline 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 Caroline Walters was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 10, 2020PECOS EnrolledAccepts Medicare Assignment

621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875(574) 647-5878 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Apr 7, 2021, Mar 29, 2021 and 1 more (4 updates tracked since 2020).

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About Caroline L Walters Pa-c NPPES

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

CAROLINE L WALTERS PA-C (NPI 1235740689) is an individual physician assistant in South Bend, Indiana, licensed in Indiana (10003018A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in Elkhart.

NPPES Registry Identity

NPI1235740689

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLINE L WALTERSCredential: PA-C

Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1840

Phone(574) 647-5875

Fax(574) 647-5878

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 10, 2020

Last NPPES UpdateJune 23, 20254 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1235740689 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 IN · 10003018A

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.

621 MEMORIAL DR STE 502, South Bend, IN 46601

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Secondary Practice Location 1

Location 1500 Arcade Ave Ste 320Elkhart, IN 46514-2477 · Phone (574) 523-7900 · Fax (574) 523-7909

Other Identifiers 1

Medicaid300047046IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Caroline L 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 ID6406263383

PECOS Enrollment IDI20210319000861

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

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 19

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

DR. ROBERT G. CREDI MD

Surgery