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KELLY WALKER PA-C
NPI 1801293105
Physician Assistant - Medical in Edmond, OK

Active since December 02, 2014PECOS EnrolledAccepts Medicare Assignment
82.03/100
CMS Quality Rating
2017 W I 35 FRONTAGE RD, SUITE 250, EDMOND, OK 73013(405) 757-3340(405) 757-3341 Get Directions Write a Review

NPPES record last updated: February 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Walker Pa-c NPPES

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

KELLY WALKER PA-C (NPI 1801293105) is an individual medical provider in Edmond, Oklahoma and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Integris Southwest Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1801293105
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY WALKERCredential: PA-C
Location Address2017 W I 35 FRONTAGE RD, SUITE 250Edmond, OK 73013-8504
Mailing Address2017 W I 35 Frontage Rd, Suite 250Edmond, OK 73013-8504 · (405) 757-3340 · Fax (405) 757-3341
Phone(405) 757-3340
Fax(405) 757-3341
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 2, 2014
Last NPPES UpdateFebruary 2, 2016
✔ NPI 1801293105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
2017 W I 35 FRONTAGE RD, Edmond, OK 73013
Open in Google Maps ↗

Other Identifiers 2

Medicaid200569450AOK
Medicare PIN387723YMU8OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health 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

Kelly Walker 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 ID9931423597
PECOS Enrollment IDI20150130001441
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

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

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

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.

82.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.05
Promoting Interoperability100
Improvement Activities40
Cost52.05

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

HAYDAN HEUERMANN
Physician Assistant
2017 W I 35 FRONTAGE RD
EDMOND, OK 73013
Oklahoma County (405) 757-3610
MRS. BREANNA LEA WHITE ARNP
Nurse Practitioner (Family)
2017 W I 35 FRONTAGE RD, SUITE 150
EDMOND, OK 73013
Oklahoma County (405) 757-3365
MARY CATHRYN MERIDETH ARNP
Nurse Practitioner
2017 W I 35 FRONTAGE RD
EDMOND, OK 73013
Oklahoma County (405) 509-2800
EMILY JACOBSON
Physical Therapist
2017 W I 35 FRONTAGE RD
EDMOND, OK 73013
Oklahoma County (405) 757-3380
GEORGE KELLOGG STEPHENS III MD
Pediatrics
2017 W I 35 FRONTAGE RD
EDMOND, OK 73013
Oklahoma County (405) 757-3365
DR. WILLIAM J. HALE II M.D.
Orthopaedic Surgery
2017 W I 35 FRONTAGE RD, SUTIE 250
EDMOND, OK 73013
Oklahoma County (405) 757-3340
DR. STEPHANIE DETER PICKETT M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
2017 W I 35 FRONTAGE RD
EDMOND, OK 73013
Oklahoma County (405) 216-4004
LACY S DAVIS MD
Pediatrics
2017 W I 35 FRONTAGE RD, SUITE 150
EDMOND, OK 73013
Oklahoma County (405) 757-3365

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 Kelly Walker's NPI number?

The NPI number for Kelly Walker is 1801293105. It was assigned to this individual provider in the NPPES registry on December 2, 2014.

Where is Kelly Walker located?

Kelly Walker practices at 2017 W I 35 Frontage Rd Suite 250, Edmond, OK 73013. The listed phone number is (405) 757-3340.

What is Kelly Walker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Walker enrolled in Medicare?

Yes. Kelly 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 Kelly Walker accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Kelly 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 Kelly Walker affiliated with any hospitals?

According to CMS data, Kelly Walker is affiliated with Integris Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Walker was last updated on February 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.