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JENNIFER L WALSTON AGACNP-BC
NPI 1629471297
Nurse Practitioner - Acute Care in Springfield, IL

Active since September 26, 2014
751 N RUTLEDGE ST, SUITE 1700, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7063 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer L Walston Agacnp-bc NPPES

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

JENNIFER L WALSTON AGACNP-BC (NPI 1629471297) is an individual acute care provider in Springfield, Illinois, licensed in Illinois (209011920) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1629471297
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER L WALSTONCredential: AGACNP-BC
Location Address751 N RUTLEDGE ST, SUITE 1700Springfield, IL 62702-4968
Mailing Address751 N Rutledge St, Po Box 19636Springfield, IL 62702-4968 · (217) 545-8000 · Fax (217) 545-7063
Phone(217) 545-8000
Fax(217) 545-7063
Sole ProprietorNo
Enumeration DateSeptember 26, 2014
Last NPPES UpdateJune 17, 2016
✔ NPI 1629471297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209011920
751 N RUTLEDGE ST, Springfield, IL 62702
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer L Raines

Other Identifiers 2

Medicare PINF400182887IL
Medicaid$$$$$$$$$001IL

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.

ZACHARIAH GURNSEY MD
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
CATHERINE A NARITOKU R.D.
Dietitian, Registered
751 N RUTLEDGE ST, LOWER LEVEL
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
MRS. LUCINDA S BUESCHER M.D.
Dermatology
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3821
JAMES M GILCHRIST MD
Psychiatry & Neurology (Clinical Neurophysiology)
751 N RUTLEDGE ST, STE 3100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. AKSHRA VERMA MD, MS
Internal Medicine
751 N RUTLEDGE ST, STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0182
CYNTHIA A MICHAEL MD
Internal Medicine (Pulmonary Disease)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
TILITHA S SHAWGO
Clinical Nurse Specialist (Acute Care)
751 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4421
REBECCA J LARSON MD
Dermatology (MOHS-Micrographic Surgery)
751 N RUTLEDGE ST, SUITE 2300
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Jennifer Walston's NPI number?

The NPI number for Jennifer Walston is 1629471297. It was assigned to this individual provider in the NPPES registry on September 26, 2014. The provider is also known as Jennifer L Raines.

Where is Jennifer Walston located?

Jennifer Walston practices at 751 N Rutledge St Suite 1700, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Jennifer Walston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Jennifer Walston was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.