MRS. MARY TERESA WALTERS CPNP
NPI 1477042802
Nurse Practitioner in Boise, ID

Q: What is Mary Walters's NPI number?

The NPI number for Mary Walters is 1477042802. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Q: What is Mary Walters'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 Mary Walters was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since May 01, 2018PECOS EnrolledAccepts Medicare Assignment

100 E IDAHO ST, BOISE, ID 83712(208) 381-5111(208) 381-5112 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, May 23, 2018, May 1, 2018 (3 updates tracked since 2018).

On this page

About Mrs. Mary Teresa Walters Cpnp NPPES

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

MRS. MARY TERESA WALTERS CPNP (NPI 1477042802) is an individual nurse practitioner in Boise, Idaho, licensed in Idaho (57929) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477042802

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARY TERESA WALTERSCredential: CPNP

Location Address100 E IDAHO STBoise, ID 83712

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-5111

Fax(208) 381-5112

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 1, 2018

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1477042802 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 ID · 57929

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.

100 E IDAHO ST, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mary Teresa Walters Cpnp 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 ID4284980608

PECOS Enrollment IDI20180627001570

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 83712 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

DR. NATHAN D MEEKER M.D.

Pediatrics (Pediatric Hematology-Oncology)

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-2782

MCKAY HERPEL PHARMD

Pharmacist (Oncology)

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-3108

DR. FREDERICK K EMGE MD

Pediatrics (Pediatric Cardiology)

100 E IDAHO ST, SUITE 200
BOISE, ID 83712

Ada County (208) 381-7384

DAN S ZUCKERMAN MD

Internal Medicine (Hematology & Oncology)

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-2711

MISTY NEISEN

Physician Assistant

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-2711

AMY MERCER RD

Dietitian, Registered

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 381-4011

DAVID B BETTIS MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

100 E IDAHO ST, STE 201
BOISE, ID 83712

Ada County (208) 381-5180

VIVIANA BAEZA NUNEZ

Massage Therapist

100 E IDAHO ST
BOISE, ID 83712

Ada County (208) 706-5287

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 Mary Walters's NPI number?

The NPI number for Mary Walters is 1477042802. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Mary Walters located?

Mary Walters practices at 100 E Idaho St, Boise, ID 83712. The listed phone number is (208) 381-5111.

What is Mary Walters's specialty?

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

Is Mary Walters enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Walters accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Mary 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 Mary Walters was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.