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MS. LILLIE MARQUE WALKER PA-C
NPI 1629147632
Physician Assistant - Medical in Waldorf, MD

Active since November 06, 2006PECOS Enrolled
3460 OLD WASHINGTON RD, SUITE 300, WALDORF, MD 20602(301) 645-1523(301) 645-6812 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 21, 2017, Jan 20, 2016 (2 updates tracked since 2016).

About Ms. Lillie Marque Walker Pa-c NPPES

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

MS. LILLIE MARQUE WALKER PA-C (NPI 1629147632) is an individual medical provider in Waldorf, Maryland, licensed in Maryland (C0005644) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629147632
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. LILLIE MARQUE WALKERCredential: PA-C
Location Address3460 OLD WASHINGTON RD, SUITE 300Waldorf, MD 20602-3240
Mailing Address11350 Mccormick Rd, Executive Plaza 1, Suite 501Hunt Valley, MD 21031-1002 · (301) 645-1523 · Fax (301) 645-6812
Phone(301) 645-1523
Fax(301) 645-6812
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
✔ NPI 1629147632 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 MD · C0005644
3460 OLD WASHINGTON RD, Waldorf, MD 20602
Open in Google Maps ↗

Other Names 1

Former Name (1)Lillie Marque Stovall

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lillie Marque Walker 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.

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.

DR. RICHARD JAMES BROUILLETTE DO
Pain Medicine (Interventional Pain Medicine)
3460 OLD WASHINGTON RD, SUITE 300
WALDORF, MD 20602
Charles County (301) 645-1523
FELIX J AGUTO, DDS, PA
Dentist
3460 OLD WASHINGTON RD, SUITE #200
WALDORF, MD 20602
Charles County (301) 645-6556
CORYSE BRATHWAITE-DEAN, MD, PC
Clinic/Center (Medical Specialty)
3460 OLD WASHINGTON RD, SUITE 101
WALDORF, MD 20602
Charles County (301) 705-6500
OMAR F. AHMAD, M.D., P.C.
Ophthalmology
3460 OLD WASHINGTON RD, SUITE 302
WALDORF, MD 20602
Charles County (301) 893-3484
WALDORF PRIMARY CARE LLC
Clinic/Center (Primary Care)
3460 OLD WASHINGTON RD, SUITE 103
WALDORF, MD 20602
Charles County (301) 638-0001
CENTER FOR PAIN MANAGEMENT ,LLC
Pain Medicine (Interventional Pain Medicine)
3460 OLD WASHINGTON RD, SUITE 300
WALDORF, MD 20602
Charles County (301) 645-1523
PHARMVUE CORPORATION
Pharmacy
3460 OLD WASHINGTON RD, SUITE 103
WALDORF, MD 20602
Charles County (301) 645-2400
DR. KARLENE VANESSA ROSS M.D.
Family Medicine
3460 OLD WASHINGTON RD, SUITE #103
WALDORF, MD 20602
Charles County (301) 638-0001

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 Lillie Walker's NPI number?

The NPI number for Lillie Walker is 1629147632. It was assigned to this individual provider in the NPPES registry on November 6, 2006. The provider is also known as Lillie Marque Stovall.

Where is Lillie Walker located?

Lillie Walker practices at 3460 Old Washington Rd Suite 300, Waldorf, MD 20602. The listed phone number is (301) 645-1523.

What is Lillie Walker's specialty?

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

Is Lillie Walker enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lillie Walker was last updated on February 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.