Look up the most recent NPI and PECOS records

Madison Walker

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

Based on the most recent information from CMS, provider Madison Walker is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1164173811
Provider Type
Individual
Full Name
Walker, Madison
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/14/2022
Last Updated
12/10/2024

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 267-7900

(616) 267-7901

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

(616) 486-6790

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601010950 Michigan

Madison Walker

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shaw, Emily Noelle

Wainscott, Teresa L

Brini, Cristina Lynn

Meyer, Kylie

Vantimmeren, Leigh Ellen

O'Rourke, Lois Anne

Rogers, Rachel Ann

Hendricks, John C

Temple, Gabrielle Marshall

Honderd, Holly