HARRISON GLEN WALTER NP
NPI 1871176263
Nurse Practitioner - Adult Health in South Bend, IN

Q: What is Harrison Walter's NPI number?

The NPI number for Harrison Walter is 1871176263. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Q: What is Harrison Walter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Harrison Walter was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment

621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875(574) 647-5878 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Jun 2, 2023, May 3, 2021 (3 updates tracked since 2021).

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About Harrison Glen Walter Np NPPES

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

HARRISON GLEN WALTER NP (NPI 1871176263) is an individual adult health provider in South Bend, Indiana, licensed in Indiana (71015471A) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1871176263

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameHARRISON GLEN WALTERCredential: NP

Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129

Phone(574) 647-5875

Fax(574) 647-5878

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 3, 2021

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1871176263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IN · 71015471A

621 MEMORIAL DR STE 502, South Bend, IN 46601

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Secondary Practice Location 1

Location 1610 N Michigan St Ste 400South Bend, IN 46601-1081 · Phone (574) 647-8120 · Fax (574) 647-8111

Other Identifiers 1

Medicaid300076205IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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

Harrison Glen Walter Np 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 ID5698176212

PECOS Enrollment IDI20230518003358

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

152 services131 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

38 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150012

Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County

Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150076

Location1915 Lake AvePlymouth, IN 46563 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 19

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

DR. ROBERT G. CREDI MD

Surgery