MRS. RENAE MICHELLE WALTON FNP - NPI 1639378706 - Nurse Practitioner in Charlotte, NC

Q: What is Renae Walton's NPI number?

The NPI number for Renae Walton is 1639378706. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Q: What is Renae Walton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Renae Walton was last updated on September 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Renae Michelle Walton Fnp NPPES

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

MRS. RENAE MICHELLE WALTON FNP (NPI 1639378706) is an individual primary care provider in Charlotte, North Carolina, licensed in North Carolina (5004002) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1639378706

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. RENAE MICHELLE WALTONCredential: FNP

Location Address1213 W MOREHEAD ST FL 5Charlotte, NC 28208-5576

Mailing Address1213 W Morehead St Fl 5Charlotte, NC 28208-5576 · (980) 780-2307 · Fax (980) 780-2308

Phone(980) 780-2307

Fax(980) 780-2308

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 17, 2007

Last NPPES UpdateSeptember 4, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2025

✔ NPI 1639378706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NC · 5004002

1213 W MOREHEAD ST FL 5, Charlotte, NC 28208

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Other Identifiers 1

Other2593282NC · Medicare Individual Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Renae Michelle Walton Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951470624

PECOS Enrollment IDI20080725000413

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28208 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 6

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

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