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

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jillian Walters 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 ID4688138274
PECOS Enrollment IDI20260714005413
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.

Medicare Billing Reassignment

Medicare enrollment records show Jillian Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
1340 BROAD AVE STE 210
Gulfport, MS 39501
  • Reassigned Medicare billing, Mississippi enrollment
  • 731 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jillian Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Walters reassigns Medicare benefits to Memorial Hospital At Gulfport (Gulfport, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jillian Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jillian Walters accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Jillian 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 Jillian Walters affiliated with any hospitals?

According to CMS data, Jillian Walters is affiliated with Memorial Hospital At Gulfport.

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 4 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.