KELLY R WALTER - NPI 1447196183 - Nurse Practitioner in Decatur, IL

Q: What is Kelly Walter's NPI number?

The NPI number for Kelly Walter is 1447196183. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Q: What is Kelly Walter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Walter was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

On this page

About Kelly R Walter NPPES

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

KELLY R WALTER (NPI 1447196183) is an individual nurse practitioner in Decatur, Illinois, licensed in Illinois (041.370135) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1447196183

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY R WALTER

Location Address4662 DOGWOOD CTDecatur, IL 62526-9326

Mailing Address4662 Dogwood CtDecatur, IL 62526-9326 · (217) 413-7519

Phone(217) 413-7519

Sole ProprietorYes

Enumeration DateApril 27, 2026

NPPES CertifiedApril 26, 2026

✔ NPI 1447196183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 041.370135

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4662 DOGWOOD CT, Decatur, IL 62526

Open in Google Maps ↗

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 Kelly Walter's NPI number?

The NPI number for Kelly Walter is 1447196183. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Kelly Walter located?

Kelly Walter practices at 4662 Dogwood Ct, Decatur, IL 62526. The listed phone number is (217) 413-7519.

What is Kelly Walter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Walter was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.