Chadbourne Walters, APNP in Appleton, WI - Medicare Nurse Practitioner

Chadbourne Walters, APNP is a medicare enrolled "Nurse Practitioner" in Appleton, Wisconsin. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ascension Ne Wisconsin, Inc and his current practice location is 2105 E Enterprise Ave, Ste 111, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-6611.

Chadbourne Walters is licensed to practice in Wisconsin (license number 10333-33) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801482294.

Contact Information

	Chadbourne Walters, APNP
	2105 E Enterprise Ave, Ste 111, Appleton, WI 54913-7862
	(920) 731-6611
	(920) 731-6732

Map and Direction

Provider's Profile

Full Name	Chadbourne Walters
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	2105 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chadbourne Walters graduated from nursing school in 2020

NPI Data:

NPI Number: 1801482294
Provider Enumeration Date: 12/19/2020
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 4587078076
Enrollment ID: I20210125000724

Medical Identifiers

Medical identifiers for Chadbourne Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801482294	NPI	-	NPPES
10333-33	Other	WI	WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES (ADVANCED PRACTICE NURS
187532-30	Other	WI	WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES (REGISTERED NURSE)

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10333 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	10333-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Ne Wisconsin - St Elizabeth Campus	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Ne Wisconsin, Inc	7719897784	29

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chadbourne Walters allows following entities to bill medicare on his behalf.

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689694911 PECOS PAC ID: 5799694675 Enrollment ID: O20040126000012

Entity Name	Ascension Ne Wisconsin, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chadbourne Walters is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chadbourne Walters, APNP 2105 E Enterprise Ave, Ste 111, Appleton, WI 54913-7862 Ph: () -	Chadbourne Walters, APNP 2105 E Enterprise Ave, Ste 111, Appleton, WI 54913-7862 Ph: (920) 731-6611

Reviews and Comments

Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900
Dessia J Laxton, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-738-5369
Katie Geiser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913 Phone: 920-886-9380
Ingrid K Simpson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 E Capitol Dr, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-831-1867
Lisa Valiquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-738-4600 Fax: 920-738-4792
Kimberly A Romenesko, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-735-7645 Fax: 920-735-7618
Steven R Hamel, APN FP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877

Chadbourne Walters, APNP - Medicare Nurse Practitioner in Appleton, WI