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TERESA CANTRELL WALTERS FNP
NPI 1649017807
Nurse Practitioner - Family in Russell, PA

Active since July 13, 2024PECOS Enrolled
20 PINEGROVE BLVD, RUSSELL, PA 16345(205) 452-9789 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Jul 13, 2024 (2 updates tracked since 2024).

About Teresa Cantrell Walters Fnp NPPES

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

TERESA CANTRELL WALTERS FNP (NPI 1649017807) is an individual family provider in Russell, Pennsylvania, licensed in Pennsylvania (SP032543) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649017807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA CANTRELL WALTERSCredential: FNP
Location Address20 PINEGROVE BLVDRussell, PA 16345-1118
Mailing Address3132 Sydenton DrHoover, AL 35244-5627 · (205) 452-9789
Phone(205) 452-9789
Sole ProprietorNo
Enumeration DateJuly 13, 2024
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1649017807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in PA · SP032543✔ Licensed in AL · 1-168597✔ Licensed in NY · 356260
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-168597 (AL), RN800330 (PA), 975616 (NY)
20 PINEGROVE BLVD, Russell, PA 16345
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Cantrell Walters Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Corry Memorial Hospital Association
26 mi
Rural Health
354 CLYMER CORRY RD
Clymer, NY 14724
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • Also billed through NPI 1124406376 (Pennsylvania), NPI 1255967956 (Pennsylvania)
  • 8 clinicians in this Medicare group
NPI 1255922043 (716) 355-2248

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16345 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Teresa Walters's NPI number?

The NPI number for Teresa Walters is 1649017807. It was assigned to this individual provider in the NPPES registry on July 13, 2024.

Where is Teresa Walters located?

Teresa Walters practices at 20 Pinegrove Blvd, Russell, PA 16345. The listed phone number is (205) 452-9789.

What is Teresa Walters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teresa Walters enrolled in Medicare?

Yes. Teresa Walters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Walters reassigns Medicare benefits to Corry Memorial Hospital Association (Clymer, NY). 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 Teresa Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Walters accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Teresa Walters 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 Teresa Walters was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.