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AUTUMN WALKER
NPI 1609113240
Counselor - Professional in West Allis, WI

Active since January 15, 2013PECOS Enrolled
2248 S 102ND ST. #155, WEST ALLIS, WI 53227(414) 541-5100(844) 515-9455 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Autumn Walker NPPES

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

AUTUMN WALKER (NPI 1609113240) is an individual professional provider in West Allis, Wisconsin, licensed in Wisconsin (5681-125) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greenfield, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609113240
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAUTUMN WALKER
Location Address2248 S 102ND ST. #155West Allis, WI 53227-2147
Mailing Address3900 W Brown Deer Rd, Suite 200Brown Deer, WI 53209-1220 · (414) 540-2170 · Fax (414) 540-2171
Phone(414) 541-5100
Fax(844) 515-9455
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 15, 2013
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedSeptember 22, 2021
✔ NPI 1609113240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 5681-125✔ Licensed in WI · 1631-226

Secondary Practice Location 1

Location 13210 W Holmes AveGreenfield, WI 53221-2619 · Phone (920) 410-0812

Other Identifiers 1

Medicaid100027688WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners 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 (PECOS)

Autumn Walker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254890429
PECOS Enrollment IDI20260827003725
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 Autumn Walker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Wisconsin enrollment
  • 163 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCI G DIERAUER
Counselor (Professional)
2248 S 102ND ST. #155
WEST ALLIS, WI 53227
Milwaukee County (414) 541-5100

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 Autumn Walker's NPI number?

The NPI number for Autumn Walker is 1609113240. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Autumn Walker located?

Autumn Walker practices at 2248 S 102nd St. #155, West Allis, WI 53227. The listed phone number is (414) 541-5100.

What is Autumn Walker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Autumn Walker enrolled in Medicare?

Yes. Autumn Walker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Autumn Walker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Walker reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Autumn Walker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Walker accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 2 other insurers list Autumn Walker 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 Autumn Walker was last updated on October 6, 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.