NICHOLAS DEAN WALTHER MD
NPI 1366907727
Emergency Medicine in Fort Campbell, KY

Q: What is Nicholas Walther's NPI number?

The NPI number for Nicholas Walther is 1366907727. It was assigned to this individual provider in the NPPES registry on February 9, 2019.

Q: What is Nicholas Walther's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Walther was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 February 09, 2019PECOS EnrolledAccepts Medicare Assignment

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 23, 2023, Sep 30, 2021, May 7, 2019 and 1 more (4 updates tracked since 2019).

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About Nicholas Dean Walther Md NPPES

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

NICHOLAS DEAN WALTHER MD (NPI 1366907727) is an individual emergency medicine provider in Fort Campbell, Kentucky, licensed in Tennessee (71561) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of Northeastern Ohio University College Of Medicine (2019).

NPPES Registry Identity

NPI1366907727

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameNICHOLAS DEAN WALTHERCredential: MD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400

Phone(270) 798-8400

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2019

Enumeration DateFebruary 9, 2019

Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1366907727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TN · 71561✔ Licensed in NE · 32910

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 32910 (NE)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

650 JOEL DR, Fort Campbell, KY 42223

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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

Nicholas Dean Walther Md 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 ID2365971223

PECOS Enrollment IDI20250123000003

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.

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

LISA RENEE CORDELL RN

Registered Nurse