MRS. DIANA HERTEL WALTER PA-C
NPI 1659367407
Physician Assistant - Surgical in Clearwater, FL

Q: What is Diana Walter's NPI number?

The NPI number for Diana Walter is 1659367407. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Q: What is Diana Walter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Diana Walter was last updated on April 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment

455 PINELLAS ST STE 320, CLEARWATER, FL 33756(727) 446-2273(727) 441-4966 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2023, Mar 22, 2021, Feb 27, 2020 and 1 more (4 updates tracked since 2020).

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About Mrs. Diana Hertel Walter Pa-c NPPES

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

MRS. DIANA HERTEL WALTER PA-C (NPI 1659367407) is an individual surgical provider in Clearwater, Florida, licensed in Florida (PA102544) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1659367407

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. DIANA HERTEL WALTERCredential: PA-C

Location Address455 PINELLAS ST STE 320Clearwater, FL 33756-3369

Mailing Address455 Pinellas St Ste 320Clearwater, FL 33756-3369 · (727) 446-2273 · Fax (727) 447-5972

Phone(727) 446-2273

Fax(727) 441-4966

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 26, 2005

Last NPPES UpdateApril 13, 20234 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1659367407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA102544

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9102544 (FL)

455 PINELLAS ST STE 320, Clearwater, FL 33756

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Other Names 1

Former Name (1)Diana Lynn Hertel Pa

Other Identifiers 1

Medicaid105528400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Mrs. Diana Hertel Walter Pa-c 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 ID3072407816

PECOS Enrollment IDI20051005000826

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.

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100127

Location300 Pinellas StClearwater, FL 33756 · Pinellas County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

BAYCARE MEDICAL GROUP INC

Internal Medicine (Cardiovascular Disease)