NICOLE MARIE WALTERS APRN - NPI 1386238012 - Nurse Practitioner in Jacksonville, FL

Q: What is Nicole Walters's NPI number?

The NPI number for Nicole Walters is 1386238012. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Q: What is Nicole Walters's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Walters was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

On this page

About Nicole Marie Walters Aprn NPPES

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

NICOLE MARIE WALTERS APRN (NPI 1386238012) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11009236) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Augustine, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386238012

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE MARIE WALTERSCredential: APRN

Location Address6879 SOUTHPOINT DR NJacksonville, FL 32216-6179

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806

Phone(904) 296-2441

Fax(888) 815-0833

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 23, 2021

Last NPPES UpdateMarch 10, 20254 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1386238012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11009236

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11009236 (FL)

6879 SOUTHPOINT DR N, Jacksonville, FL 32216

Open in Google Maps ↗

Secondary Practice Location 1

Location 11375 Nochaway DrSaint Augustine, FL 32092-1865 · Phone (000) 000-0000

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

Nicole Marie Walters Aprn 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 ID9537520309

PECOS Enrollment IDI20230727000864

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 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 9

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

KATIE PAPPAS APRN

Nurse Practitioner (Family)