LYDIA MICHELLE WALTERS FNP-C
NPI 1396144135
Nurse Practitioner - Family in Jackson, MS
About Lydia Michelle Walters Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA MICHELLE WALTERS FNP-C (NPI 1396144135) is an individual family provider in Jackson, Mississippi, licensed in Montana (NUR-APRN-LIC-124631) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lydia Michelle Walters Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lydia Walters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Moselle, MS 39459
- Reassigned Medicare billing, Mississippi enrollment
- 10 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Lydia Walters's NPI number?
The NPI number for Lydia Walters is 1396144135. It was assigned to this individual provider in the NPPES registry on August 18, 2014.
Where is Lydia Walters located?
Lydia Walters practices at 2500 N. State Street, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is Lydia Walters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lydia Walters enrolled in Medicare?
Yes. Lydia Walters is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lydia Walters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Walters reassigns Medicare benefits to 2 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS) and Grayson Creek Medical Clinic, LLC (Moselle, MS). Each 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 Lydia Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lydia Walters accept?
Health plans from Molina Healthcare and Oscar Health Plan, Inc. list Lydia 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.
When was this NPI record last updated?
The NPPES record for Lydia Walters was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Lydia Michelle Walters, FNP-C · NPI 1396144135
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since August 18, 2014.
## Identity
- **NPI:** 1396144135 (Entity type: Individual)
- **Enumerated:** August 18, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NUR-APRN-LIC-124631 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N. STATE STREET, Jackson, MS 39216-4505
- **Phone:** (601) 984-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Grayson Creek Medical Clinic, LLC (NPI 1184166035, Moselle, MS) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1396144135) · Data from the CMS NPPES public registry.