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DERRICIA WALTERS
NPI 1427740885
Counselor - Mental Health in Fort Wayne, IN

Active since May 24, 2023PECOS Enrolled
1010 E DUPONT RD, FORT WAYNE, IN 46825(260) 471-8141 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Jun 9, 2023, May 30, 2023 and 1 more (4 updates tracked since 2023).

About Derricia Walters NPPES

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

DERRICIA WALTERS (NPI 1427740885) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39005938A) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1427740885
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICIA WALTERS
Location Address1010 E DUPONT RDFort Wayne, IN 46825-1554
Mailing Address5402 S Calhoun StFort Wayne, IN 46807-3317 · (260) 206-4424
Phone(260) 471-8141
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 24, 2023
Last NPPES UpdateMarch 25, 20264 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1427740885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39005938A
1010 E DUPONT RD, Fort Wayne, IN 46825
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derricia Walters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628535531
PECOS Enrollment IDI20260811003224
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 Derricia Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uplift Behavioral Health PC
453 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, Indiana enrollment
  • 20 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607

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

Other Providers at the Same Location NPPES 5

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

EMILEE COOLIDGE
Counselor (Mental Health)
1010 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-8141
GRACE KLIMEK
Social Worker
1010 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 438-0627
MRS. SHANNON WALTERS-HARVEY
Counselor
1010 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-8141
DEVAN YVONNE GARNESS LMHCA
Counselor (Mental Health)
1010 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-8141
ERIN G FALLAT MSW, LSW
Counselor (Mental Health)
1010 E DUPONT RD
FORT WAYNE, IN 46825
Allen County (260) 471-8141

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 Derricia Walters's NPI number?

The NPI number for Derricia Walters is 1427740885. It was assigned to this individual provider in the NPPES registry on May 24, 2023.

Where is Derricia Walters located?

Derricia Walters practices at 1010 E Dupont Rd, Fort Wayne, IN 46825. The listed phone number is (260) 471-8141.

What is Derricia Walters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Derricia Walters enrolled in Medicare?

Yes. Derricia Walters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derricia Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derricia Walters reassigns Medicare benefits to Uplift Behavioral Health PC (Bethesda, MD). 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 Derricia Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derricia Walters accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare and UnitedHealthcare list Derricia 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 Derricia Walters was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.