Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JILLIAN WALTERS
NPI 1376415851
Nurse Practitioner - Family in Gulfport, MS

Active since September 23, 2025PECOS Enrolled
1391 BROAD AVE, GULFPORT, MS 39501(228) 863-8868 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jillian Walters NPPES

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

JILLIAN WALTERS (NPI 1376415851) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (907617) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376415851
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJILLIAN WALTERS
Location Address1391 BROAD AVEGulfport, MS 39501-2419
Mailing Address311 Givens DrBiloxi, MS 39531-3277
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1376415851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 907617
1391 BROAD AVE, Gulfport, MS 39501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jillian Walters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 11

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

Nurse Practitioner (Family)
1391 BROAD AVE
GULFPORT, MS 39501
Clinical Nurse Specialist (Acute Care)
1391 BROAD AVE
GULFPORT, MS 39501
Nurse Practitioner
1391 BROAD AVE
GULFPORT, MS 39501
Nurse Practitioner
1391 BROAD AVE
GULFPORT, MS 39501
Nurse Practitioner
1391 BROAD AVE
GULFPORT, MS 39501
Internal Medicine (Cardiovascular Disease)
1391 BROAD AVE
GULFPORT, MS 39501
Nurse Practitioner (Family)
1391 BROAD AVE
GULFPORT, MS 39501
Nurse Practitioner
1391 BROAD AVE
GULFPORT, MS 39501

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 Jillian Walters's NPI number?

The NPI number for Jillian Walters is 1376415851. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Jillian Walters located?

Jillian Walters practices at 1391 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 863-8868.

What is Jillian Walters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jillian Walters enrolled in Medicare?

Yes. Jillian Walters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jillian Walters was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.