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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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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

What is Teresa Walters's NPI number?

The NPI number assigned to this healthcare provider is 1649017807, enumerated as an "individual" on July 13, 2024.

Where is the provider located?

The provider is located at 20 PINEGROVE BLVD RUSSELL, PA 16345 and the phone number is (205) 452-9789.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does Teresa Walters accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.