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LYDIA MICHELLE WALTERS FNP-C
NPI 1396144135
Nurse Practitioner - Family in Jackson, MS

Active since August 18, 2014PECOS Enrolled
100/100
CMS Quality Rating
2500 N. STATE STREET, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Apr 30, 2019, Apr 17, 2019 and 1 more (4 updates tracked since 2017).

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

NPI1396144135
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA MICHELLE WALTERSCredential: FNP-C
Location Address2500 N. STATE STREETJackson, MS 39216-4505
Mailing Address2500 N. State StreetJackson, MS 39216-4505 · (601) 815-6960 · Fax (601) 815-9760
Phone(601) 984-1000
Sole ProprietorNo
Enumeration DateAugust 18, 2014
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
✔ NPI 1396144135 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 MT · NUR-APRN-LIC-124631
2500 N. STATE STREET, Jackson, MS 39216
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Michelle Walters Fnp-c 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 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.

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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.23
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

DR. PRAVEEN KUMAR MD
Pediatrics (Neonatal-Perinatal Medicine)
2500 N. STATE STREET, UNIV OF MS MED CTR., NEWBORN MEDICINE
JACKSON, MS 39216
Hinds County (601) 815-7158
DR. EYAL RAFAEL YEFET M.D.
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
SAKET DINESHKUMAR PRAJAPATI
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
MOHAMED GHONIM MD
Internal Medicine
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
TEJWANT SINGH GREWAL
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
DR. VINAY PREMRAJH RUGNATH MD
Family Medicine
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-6800
GAURAV ANAND
Internal Medicine
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000
DINA RAMADAN M.D.
Student in an Organized Health Care Education/Training Program
2500 N. STATE STREET
JACKSON, MS 39216
Hinds County (601) 984-1000

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.

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 2 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.