CHADBOURNE WALTERS APNP
NPI 1801482294
Nurse Practitioner in Appleton, WI

Q: What is Chadbourne Walters's NPI number?

The NPI number for Chadbourne Walters is 1801482294. It was assigned to this individual provider in the NPPES registry on December 19, 2020.

Q: What is Chadbourne Walters's specialty?

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

Active since December 19, 2020PECOS EnrolledAccepts Medicare Assignment

95.81/100

CMS Quality Rating

2105 E ENTERPRISE AVE, STE 111, APPLETON, WI 54913(920) 731-6611(920) 731-6732 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2021, May 5, 2021, Apr 6, 2021 and 2 more (5 updates tracked since 2020).

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About Chadbourne Walters Apnp NPPES

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

CHADBOURNE WALTERS APNP (NPI 1801482294) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (10333-33) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801482294

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCHADBOURNE WALTERSCredential: APNP

Location Address2105 E ENTERPRISE AVE, STE 111Appleton, WI 54913-7862

Mailing Address2105 E Enterprise Ave, Ste 111Appleton, WI 54913-7862

Phone(920) 731-6611

Fax(920) 731-6732

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateDecember 19, 2020

Last NPPES UpdateSeptember 14, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1801482294 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 WI · 10333-33

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 10333 (WI)

2105 E ENTERPRISE AVE, Appleton, WI 54913

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Other Identifiers 2

Other10333-33WI · Wisconsin Department Of Safety And Professional Services (advanced Practice Nurs

Other187532-30WI · Wisconsin Department Of Safety And Professional Services (registered Nurse)

Accepted Insurance

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

Chadbourne Walters Apnp 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 ID4587078076

PECOS Enrollment IDI20210125000724

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.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520075

Location835 S Van Buren StGreen Bay, WI 54301 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

95.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

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.

ORTHOPEDIC AND SPORTS INSTITUTE OF THE FOX VALLEY S C

Orthopaedic Surgery

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

LYNDSEY S MAVES PA-C

Physician Assistant

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

SHERYL A GAUTHIER PA-C

Physician Assistant

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

KENNETH L. SCHAUFELBERGER, M.D., S.C.

Specialist

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 731-3311

MRS. KIM MARIE WILLISON APNP

Nurse Practitioner (Adult Health)

2105 E ENTERPRISE AVE, STE 111
APPLETON, WI 54913

Outagamie County (920) 731-6611

DR. TODD SCHUBKEGEL M.D.

Orthopaedic Surgery

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

BRADLEY JAMES BORGEN APNP

Nurse Practitioner

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 560-1000

MRS. HILLARY ANN BASHAW APNP FNP-BC

Nurse Practitioner

2105 E ENTERPRISE AVE
APPLETON, WI 54913

Outagamie County (920) 333-8878

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 Chadbourne Walters's NPI number?

The NPI number for Chadbourne Walters is 1801482294. It was assigned to this individual provider in the NPPES registry on December 19, 2020.

Where is Chadbourne Walters located?

Chadbourne Walters practices at 2105 E Enterprise Ave Ste 111, Appleton, WI 54913. The listed phone number is (920) 731-6611.

What is Chadbourne Walters's specialty?

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

Is Chadbourne Walters enrolled in Medicare?

Yes. Chadbourne Walters 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 Chadbourne Walters accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Chadbourne Walters 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 Chadbourne Walters affiliated with any hospitals?

According to CMS data, Chadbourne Walters is affiliated with Ascension NE Wisconsin - St Elizabeth Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Chadbourne Walters was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.