MR. WALTER LEWIS HEATHERLY
NPI 1962115873
Physician Assistant in Brentwood, TN

Active since January 05, 2023PECOS EnrolledAccepts Medicare Assignment
9019 OVERLOOK BLVD STE C1B, BRENTWOOD, TN 37027(615) 274-9767 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 30, 2023, Jan 5, 2023 (2 updates tracked since 2023).

About Mr. Walter Lewis Heatherly NPPES

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

MR. WALTER LEWIS HEATHERLY (NPI 1962115873) is an individual physician assistant in Brentwood, Tennessee and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brentwood, and is a graduate of Florida International Univ, College Of Medicine (2019).

NPPES Registry Identity

NPI1962115873
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WALTER LEWIS HEATHERLY
Location Address9019 OVERLOOK BLVD STE C1BBrentwood, TN 37027-2737
Mailing Address9019 Overlook Blvd Ste C1bBrentwood, TN 37027-2737 · (615) 274-9767
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2019
Enumeration DateJanuary 5, 2023
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
NPI 1962115873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

9019 OVERLOOK BLVD STE C1B, Brentwood, TN 37027

Secondary Practice Location 1

Location 1330 Franklin Rd Ste 135-A270Brentwood, TN 37027-3280 · Phone (225) 284-7336

Accepted 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

Mr. Walter Lewis Heatherly 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 ID7315310281
PECOS Enrollment IDI20230224001244
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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
89 services48 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
33 services20 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

Internal Medicine
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Internal Medicine
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Nurse Practitioner (Family)
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Physician Assistant
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Nurse Practitioner (Family)
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Internal Medicine
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Nurse Practitioner (Adult Health)
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027
Psychiatry & Neurology (Psychiatry)
9019 OVERLOOK BLVD STE C1B
BRENTWOOD, TN 37027

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 Walter Heatherly's NPI number?

The NPI number for Walter Heatherly is 1962115873. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Walter Heatherly located?

Walter Heatherly practices at 9019 Overlook Blvd Ste C1b, Brentwood, TN 37027. The listed phone number is (615) 274-9767.

What is Walter Heatherly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Walter Heatherly enrolled in Medicare?

Yes. Walter Heatherly 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 Walter Heatherly accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Walter Heatherly 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 Walter Heatherly was last updated on March 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.