BILLIE J WALTERS ACNP-BC
NPI 1477938090
Nurse Practitioner - Acute Care in Lexington, KY

Active since July 24, 2015PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
166 PASADENA DR, LEXINGTON, KY 40503(859) 278-0319 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Billie J Walters Acnp-bc NPPES

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

BILLIE J WALTERS ACNP-BC (NPI 1477938090) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3003184) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1477938090
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBILLIE J WALTERSCredential: ACNP-BC
Location Address166 PASADENA DRLexington, KY 40503-2973
Mailing Address3529 Lyon DrLexington, KY 40513-1209 · (859) 333-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 24, 2015
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
NPI 1477938090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · 3003184
166 PASADENA DR, Lexington, KY 40503

Accepted 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

Billie J Walters Acnp-bc 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 ID8628384278
PECOS Enrollment IDI20150827003051
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
216 services144 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Frankfort Regional Medical Center

Acute Care Hospitals · Frankfort, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180127
Location299 Kings Daughters DriveFrankfort, KY 40601 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Pulmonary Disease)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Nurse Practitioner (Family)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Nurse Practitioner (Family)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Nurse Practitioner (Family)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Internal Medicine (Pulmonary Disease)
166 PASADENA DR
LEXINGTON, KY 40503
Internal Medicine (Pulmonary Disease)
166 PASADENA DR, SUITE 100
LEXINGTON, KY 40503
Allergy & Immunology
166 PASADENA DR, STE 150
LEXINGTON, KY 40503
Allergy & Immunology
166 PASADENA DR, SUITE 150
LEXINGTON, KY 40503

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 Billie Walters's NPI number?

The NPI number for Billie Walters is 1477938090. It was assigned to this individual provider in the NPPES registry on July 24, 2015.

Where is Billie Walters located?

Billie Walters practices at 166 Pasadena Dr, Lexington, KY 40503. The listed phone number is (859) 278-0319.

What is Billie Walters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Billie Walters enrolled in Medicare?

Yes. Billie 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 Billie Walters accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Billie 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.

Is Billie Walters affiliated with any hospitals?

According to CMS data, Billie Walters is affiliated with Baptist Health Richmond, Baptist Health Lexington and Frankfort Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Billie Walters was last updated on December 10, 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.