MRS. COLLEEN SUE WALTERS FNP-C
NPI 1417003518
Nurse Practitioner - Family in Gerry, NY
About Mrs. Colleen Sue Walters Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. COLLEEN SUE WALTERS FNP-C (NPI 1417003518) is an individual family provider in Gerry, New York, licensed in New York (F335013-1) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Colleen Sue Walters Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Colleen Walters's NPI number?
The NPI number for Colleen Walters is 1417003518. It was assigned to this individual provider in the NPPES registry on January 25, 2007.
Where is Colleen Walters located?
Colleen Walters practices at 4570 Route 60, Gerry, NY 14740. The listed phone number is (716) 985-4612.
What is Colleen Walters's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Colleen Walters enrolled in Medicare?
Yes. Colleen Walters is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Colleen Walters was last updated on December 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Colleen Sue Walters, FNP-C · NPI 1417003518
Family physician in Gerry, New York. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1417003518 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F335013-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4570 ROUTE 60, Gerry, NY 14740
- **Phone:** (716) 985-4612
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 22, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1417003518) · Data from the CMS NPPES public registry.