NICHOLAS JOSEPH WALTER DO
NPI 1568099042
Family Medicine in Mishawaka, IN

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
420 W 4TH ST, MISHAWAKA, IN 46544(574) 307-7673 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 16, 2023, Oct 13, 2021, Aug 11, 2021 and 1 more (4 updates tracked since 2020).

About Nicholas Joseph Walter Do NPPES

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

NICHOLAS JOSEPH WALTER DO (NPI 1568099042) is an individual family medicine provider in Mishawaka, Indiana, licensed in Indiana (02007449A) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1568099042
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS JOSEPH WALTERCredential: DO
Location Address420 W 4TH STMishawaka, IN 46544-1948
Mailing Address420 W 4th StMishawaka, IN 46544-1948 · (574) 307-7673
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 16, 20234 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1568099042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 02007449A
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.

420 W 4TH ST, Mishawaka, IN 46544

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

Nicholas Joseph Walter Do 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 ID2163844234
PECOS Enrollment IDI20231005003247
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST, SUITE 100
MISHAWAKA, IN 46544
Registered Nurse (Case Management)
420 W 4TH ST, SUITE 100-A
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568099042, enumerated as an "individual" on March 25, 2020.

The provider is located at 420 W 4TH ST MISHAWAKA, IN 46544 and the phone number is (574) 307-7673.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Nicholas Walter is affiliated with: SAINT JOSEPH REGIONAL MEDICAL CENTER and MEMORIAL HOSPITAL OF SOUTH BEND.