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DR. PHAEDRA LYNN WALKER APRN, DNP
NPI 1417353566
Nurse Practitioner - Family in Riviera Beach, FL

Active since November 17, 2014PECOS Enrolled
4152 W BLUE HERON BLVD STE 123, RIVIERA BEACH, FL 33404(440) 844-7699 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Phaedra Lynn Walker Aprn, Dnp NPPES

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

DR. PHAEDRA LYNN WALKER APRN, DNP (NPI 1417353566) is an individual family provider in Riviera Beach, Florida, licensed in Florida (9319140) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Palm Beach.

NPPES Registry Identity

NPI1417353566
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. PHAEDRA LYNN WALKERCredential: APRN, DNP
Location Address4152 W BLUE HERON BLVD STE 123Riviera Beach, FL 33404-4859
Mailing Address9047 Alexandra CirWellington, FL 33414-6439 · (561) 223-2735
Phone(440) 844-7699
Sole ProprietorYes
Enumeration DateNovember 17, 2014
Last NPPES UpdateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
✔ NPI 1417353566 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 FL · 9319140
4152 W BLUE HERON BLVD STE 123, Riviera Beach, FL 33404
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Secondary Practice Location 1

Location 12724 N Australian AveWest Palm Beach, FL 33407-4501 · Phone (561) 223-2735

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phaedra Lynn Walker Aprn, Dnp 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 33404 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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

MELISSA ANNE LOPEZ ARNP
Nurse Practitioner (Family)
4152 W BLUE HERON BLVD STE 123
RIVIERA BEACH, FL 33404
Palm Beach County (561) 844-7699

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 Phaedra Walker's NPI number?

The NPI number for Phaedra Walker is 1417353566. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Phaedra Walker located?

Phaedra Walker practices at 4152 W Blue Heron Blvd Ste 123, Riviera Beach, FL 33404. The listed phone number is (440) 844-7699.

What is Phaedra Walker's specialty?

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

Is Phaedra Walker enrolled in Medicare?

Yes. Phaedra Walker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phaedra Walker was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.