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KELLY WALTERS
NPI 1487460614
Nurse Practitioner - Psychiatric/Mental Health in Bowling Green, OH

Active since December 03, 2024PECOS EnrolledAccepts Medicare Assignment
1010 N PROSPECT ST, BOWLING GREEN, OH 43402(419) 352-5387 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2024, Dec 3, 2024 (2 updates tracked since 2024).

About Kelly Walters NPPES

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

KELLY WALTERS (NPI 1487460614) is an individual psychiatric/mental health provider in Bowling Green, Ohio, licensed in Ohio (APRN.CNP.0038300) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Toledo, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487460614
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY WALTERS
Location Address1010 N PROSPECT STBowling Green, OH 43402-1335
Mailing Address3909 Woodley RdToledo, OH 43606-1169
Phone(419) 352-5387
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 3, 2024
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1487460614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0038300
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.417486 (OH)
1010 N PROSPECT ST, Bowling Green, OH 43402
Open in Google Maps ↗

Secondary Practice Location 1

Location 13909 Woodley RdToledo, OH 43606-1169 · Phone (419) 475-4449

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Walters 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 ID5799213682
PECOS Enrollment IDI20250106001655
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 Kelly Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Harbor
21 mi
Mental Health (Including Community Mental Health Center)
3909 WOODLEY RD
Toledo, OH 43606
  • Reassigned Medicare billing, Ohio enrollment
  • 97 clinicians in this Medicare group
NPI 1366526782 (419) 725-3330

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43402 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

RICHERA J BROWN
Case Manager/Care Coordinator
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387
ASHLEY MAINE
Case Manager/Care Coordinator
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387
JEFFREY BISCHOFF
Counselor (Professional)
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387
JAIME RITZMAN
Case Manager/Care Coordinator
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387
ERIN GOFF
Case Manager/Care Coordinator
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387
NICOLE S ROSENBERGER
Social Worker
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387
ABIGAIL LEIGH YATES MA LPCC
Counselor (Professional)
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5837
MICHELLE COONROD LPC
Counselor (Mental Health)
1010 N PROSPECT ST
BOWLING GREEN, OH 43402
Wood County (419) 352-5387

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 Walters's NPI number?

The NPI number for Kelly Walters is 1487460614. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Kelly Walters located?

Kelly Walters practices at 1010 N Prospect St, Bowling Green, OH 43402. The listed phone number is (419) 352-5387.

What is Kelly Walters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Walters enrolled in Medicare?

Yes. Kelly 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.

Which organization bills Medicare for Kelly Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Walters reassigns Medicare benefits to Harbor (Toledo, OH). 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 Kelly Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Walters accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Kelly 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 Kelly Walters was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.