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ADAM R. WALKER CNP
NPI 1649370784
Nurse Practitioner in Sioux Falls, SD

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1210 W 18TH ST, STE 100, SIOUX FALLS, SD 57104(605) 312-8500(605) 312-8501 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Adam R. Walker Cnp NPPES

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

ADAM R. WALKER CNP (NPI 1649370784) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP000481) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1649370784
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameADAM R. WALKERCredential: CNP
Location Address1210 W 18TH ST, STE 100Sioux Falls, SD 57104-4647
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 312-8500
Fax(605) 312-8501
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 3, 2019
✔ NPI 1649370784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP000481
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP000481 (SD)
1210 W 18TH ST, Sioux Falls, SD 57104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam R. Walker Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880693357
PECOS Enrollment IDI20061211000239
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule County
Emergency services

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

JOHN P REINSCHMIDT MD
Radiology (Diagnostic Radiology)
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-3150
EUGENIO B MATOS M.D.
Psychiatry & Neurology (Neurology)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. KHALIL A YOUSEF M.D.
Radiology (Diagnostic Radiology)
1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1410
JOHN ELMER FORRETTE JR. DPM
Podiatrist
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1395
BRETT ALLEN BASTIAN PAC
Physician Assistant
1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8660
DR. THOMAS MATTHEW BOETEL D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, SUITE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. CHRISTOPHER JANSSEN
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. ADAM HAILES NICHOLS D.P.M.
Podiatrist (Foot & Ankle Surgery)
1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-2663

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 Adam Walker's NPI number?

The NPI number for Adam Walker is 1649370784. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Adam Walker located?

Adam Walker practices at 1210 W 18th St Ste 100, Sioux Falls, SD 57104. The listed phone number is (605) 312-8500.

What is Adam Walker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Adam Walker enrolled in Medicare?

Yes. Adam Walker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Adam Walker accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Adam Walker 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.

Is Adam Walker affiliated with any hospitals?

According to CMS data, Adam Walker is affiliated with Trinity Health Muskegon Hospital, Windom Area Health, Sanford Usd Medical Center, Sanford Chamberlain Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Adam Walker was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.