ALEXANDRA NICOLE WALTERS FNP-BC
NPI 1316582687
Nurse Practitioner in Evergreen Park, IL

Q: What is Alexandra Walters's NPI number?

The NPI number for Alexandra Walters is 1316582687. It was assigned to this individual provider in the NPPES registry on November 11, 2019.

Q: What is Alexandra Walters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Walters was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 November 11, 2019PECOS EnrolledAccepts Medicare Assignment

3545 W 95TH ST, EVERGREEN PARK, IL 60805(708) 346-5562(708) 346-2059 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Nov 11, 2019 (2 updates tracked since 2019).

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About Alexandra Nicole Walters Fnp-bc NPPES

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

ALEXANDRA NICOLE WALTERS FNP-BC (NPI 1316582687) is an individual nurse practitioner in Evergreen Park, Illinois, licensed in Illinois (209020072) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Osf Little Company Of Mary Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316582687

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALEXANDRA NICOLE WALTERSCredential: FNP-BC

Location Address3545 W 95TH STEvergreen Park, IL 60805-2135

Mailing Address3545 W 95th StEvergreen Park, IL 60805-2135 · (708) 346-5562 · Fax (708) 346-2059

Phone(708) 346-5562

Fax(708) 346-2059

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 11, 2019

Last NPPES UpdateApril 5, 20222 updates tracked since enumeration

NPPES CertifiedApril 5, 2022

✔ NPI 1316582687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in IL · 209020072✔ Licensed in IL · 020072

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3545 W 95TH ST, Evergreen Park, IL 60805

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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

Alexandra Nicole Walters Fnp-bc 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 ID8921437187

PECOS Enrollment IDI20200409000852

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services25 patients

Hospital Affiliations CMS Care Compare

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

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140179

Location2800 W 95th StEvergreen Park, IL 60805 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60805 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

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

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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.

DR. THOMAS BUMP M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)