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EDWINA SUE WALTHALL APN
NPI 1801026620
Nurse Practitioner - Obstetrics & Gynecology in Little Rock, AR

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 251-5276(501) 280-3142 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edwina Sue Walthall Apn NPPES

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

EDWINA SUE WALTHALL APN (NPI 1801026620) is an individual obstetrics & gynecology provider in Little Rock, Arkansas, licensed in Arkansas (A03147) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1801026620
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameEDWINA SUE WALTHALLCredential: APN
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7101
Mailing Address4301 W Markham StLittle Rock, AR 72205-7101 · (501) 251-5276 · Fax (501) 280-3142
Phone(501) 251-5276
Fax(501) 280-3142
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 15, 2009
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
✔ NPI 1801026620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in AR · A03147
4301 W MARKHAM ST, Little Rock, AR 72205
Open in Google Maps ↗

Other Names 1

Former Name (1)Edwina Sue Jones Apn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Edwina Sue Walthall Apn 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 ID4486709219
PECOS Enrollment IDI20090831000686
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 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 20

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

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
JORDAN ALEECE FLETCHER
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
LUKE WILLIAM GANUCHEAU MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 376-2211

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 Edwina Walthall's NPI number?

The NPI number for Edwina Walthall is 1801026620. It was assigned to this individual provider in the NPPES registry on July 15, 2009. The provider is also known as Edwina Sue Jones Apn.

Where is Edwina Walthall located?

Edwina Walthall practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 251-5276.

What is Edwina Walthall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Edwina Walthall enrolled in Medicare?

Yes. Edwina Walthall 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 Edwina Walthall accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Edwina Walthall 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 Edwina Walthall was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.