ANGELA D WALTERS FNP-C
NPI 1407674195
General Practice in Sullivan, IN

Q: What is Angela Walters's NPI number?

The NPI number for Angela Walters is 1407674195. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Q: What is Angela Walters's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Walters was last updated on October 1, 2024. 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.

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment

2200 N SECTION ST STE A, SULLIVAN, IN 47882(812) 268-6292 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Angela D Walters Fnp-c NPPES

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

ANGELA D WALTERS FNP-C (NPI 1407674195) is an individual general practice provider in Sullivan, Indiana, licensed in Indiana (71015802A) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Sullivan County Community Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407674195

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameANGELA D WALTERSCredential: FNP-C

Location Address2200 N SECTION ST STE ASullivan, IN 47882-7523

Mailing Address2200 N Section StSullivan, IN 47882-7523 · (812) 268-4311

Phone(812) 268-6292

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 1, 2024

NPPES CertifiedSeptember 10, 2024

✔ NPI 1407674195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 71015802A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2200 N SECTION ST STE A, Sullivan, IN 47882

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Angela D Walters Fnp-c 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 ID8224560602

PECOS Enrollment IDI20241010003081

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 Angela Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sullivan County Community Hospital

0.2 mi

Critical Access Hospital

2120 N SECTION ST
Sullivan, IN 47882

Reassigned Medicare billing, Indiana enrollment
Also billed through NPI 1447805965 (Indiana), NPI 1497363303 (Indiana)
19 clinicians in this Medicare group

NPI 1487450698 (812) 268-4311

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

77 services69 patients

Hospital Affiliations CMS Care Compare

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

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN

OwnershipGovernment - Local

CMS Certification Number151327

Location2200 N Section StSullivan, IN 47882 · Sullivan County

Emergency services Birthing friendly

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 Angela Walters's NPI number?

The NPI number for Angela Walters is 1407674195. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Angela Walters located?

Angela Walters practices at 2200 N Section St Ste A, Sullivan, IN 47882. The listed phone number is (812) 268-6292.

What is Angela Walters's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Angela Walters enrolled in Medicare?

Yes. Angela 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 Angela Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Walters reassigns Medicare benefits to Sullivan County Community Hospital (Sullivan, IN). 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 Angela Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Walters accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Angela 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 Angela Walters affiliated with any hospitals?

According to CMS data, Angela Walters is affiliated with Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Angela Walters was last updated on October 1, 2024. 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.