ANNICA E WAALKES MD
NPI 1538116199
Family Medicine in Zeeland, MI

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8333 FELCH ST, SUITE 200, ZEELAND, MI 49464(616) 772-4846(616) 748-2855 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annica E Waalkes Md NPPES

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

ANNICA E WAALKES MD (NPI 1538116199) is an individual family medicine provider in Zeeland, Michigan, licensed in Michigan (4301087005) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Reed City Hospital, and is a graduate of Wayne State University School Of Medicine (1999).

NPPES Registry Identity

NPI1538116199
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANNICA E WAALKESCredential: MD
Location Address8333 FELCH ST, SUITE 200Zeeland, MI 49464-9666
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Fax(616) 748-2855
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1999
Enumeration DateMay 28, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1538116199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301087005
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8333 FELCH ST, Zeeland, MI 49464

Other Identifiers 1

Other4301087005MI · Md License

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

Annica E Waalkes Md 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 ID3072525237
PECOS Enrollment IDI20060707000169
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.

Hospital Affiliations CMS Care Compare

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

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231323
Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49464 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$12.53 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$56.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
8333 FELCH ST
ZEELAND, MI 49464
Nurse Practitioner (Acute Care)
8333 FELCH ST
ZEELAND, MI 49464
Dietitian, Registered
8333 FELCH ST
ZEELAND, MI 49464
Occupational Therapist (Physical Rehabilitation)
8333 FELCH ST
ZEELAND, MI 49464
Dietitian, Registered
8333 FELCH ST, SUITE 300
ZEELAND, MI 49464
Surgery
8333 FELCH ST, SUITE 300
ZEELAND, MI 49464
Family Medicine
8333 FELCH ST, SUITE C
ZEELAND, MI 49464
Psychiatry & Neurology (Psychiatry)
8333 FELCH ST, SUITE 201
ZEELAND, MI 49464

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 Annica Waalkes's NPI number?

The NPI number for Annica Waalkes is 1538116199. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Annica Waalkes located?

Annica Waalkes practices at 8333 Felch St Suite 200, Zeeland, MI 49464. The listed phone number is (616) 772-4846.

What is Annica Waalkes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Annica Waalkes enrolled in Medicare?

Yes. Annica Waalkes 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 Annica Waalkes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Annica Waalkes 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 Annica Waalkes affiliated with any hospitals?

According to CMS data, Annica Waalkes is affiliated with Corewell Health Reed City Hospital.

When was this NPI record last updated?

The NPPES record for Annica Waalkes was last updated on February 18, 2021. 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.