MR. JAMES PRAUL WALTON III MS, NP, AGACNP-BC
NPI 1891513636
Nurse Practitioner in San Francisco, CA

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
501 PARNASSUS AVENUE, SAN FRANCISCO, CA 94143(415) 476-1000 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. James Praul Walton Iii Ms, Np, Agacnp-bc NPPES

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

MR. JAMES PRAUL WALTON III MS, NP, AGACNP-BC (NPI 1891513636) is an individual nurse practitioner in San Francisco, California, licensed in California (95030907) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891513636
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JAMES PRAUL WALTON IIICredential: MS, NP, AGACNP-BC
Location Address501 PARNASSUS AVENUESan Francisco, CA 94143
Mailing Address501 Parnassus AvenueSan Francisco, CA 94143 · (415) 476-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 1, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1891513636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95030907
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.
501 PARNASSUS AVENUE, San Francisco, CA 94143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Praul Walton Iii Ms, Np, Agacnp-bc 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 ID9032644570
PECOS Enrollment IDI20241121000704
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.

Medicare Billing Reassignments

5

Medicare enrollment records show James Walton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endocrinology, Diabetes & Metabolism
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
Anesthesiology
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 723 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 James Walton's NPI number?

The NPI number for James Walton is 1891513636. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is James Walton located?

James Walton practices at 501 Parnassus Avenue, San Francisco, CA 94143. The listed phone number is (415) 476-1000.

What is James Walton's specialty?

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

Is James Walton enrolled in Medicare?

Yes. James Walton 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.

Which organizations bill Medicare for James Walton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Walton reassigns Medicare benefits to 5 organizations: Regents Of The University Of California (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA), University Anesthesia Medical Group (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Walton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Walton was last updated on October 1, 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.