CARLI NICOLE WALTER PA-C
NPI 1588948574
Physician Assistant - Medical in Peoria, AZ

Active since October 07, 2011PECOS Enrolled
8325 W HAPPY VALLEY RD UNIT 105, PEORIA, AZ 85383(602) 292-3703 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carli Nicole Walter Pa-c NPPES

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

CARLI NICOLE WALTER PA-C (NPI 1588948574) is an individual medical provider in Peoria, Arizona, licensed in Arizona (4891) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588948574
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCARLI NICOLE WALTERCredential: PA-C
Location Address8325 W HAPPY VALLEY RD UNIT 105Peoria, AZ 85383-4361
Mailing Address8194 W Deer Valley Rd # 106-264Peoria, AZ 85382-2127 · (602) 292-3703
Sole ProprietorNo
Enumeration DateOctober 7, 2011
Last NPPES UpdateSeptember 20, 2025
NPPES CertifiedSeptember 20, 2025
NPI 1588948574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 4891
8325 W HAPPY VALLEY RD UNIT 105, Peoria, AZ 85383

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carli Nicole Walter Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Carli Walter's NPI number?

The NPI number for Carli Walter is 1588948574. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is Carli Walter located?

Carli Walter practices at 8325 W Happy Valley Rd Unit 105, Peoria, AZ 85383. The listed phone number is (602) 292-3703.

What is Carli Walter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Carli Walter enrolled in Medicare?

Yes. Carli Walter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carli Walter was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.