Katelyn Danielle Walpole, FNP in Litchfield Park, AZ

Katelyn Danielle Walpole, FNP is a medicare enrolled "Nurse Practitioner - Family" in Litchfield Park, Arizona. Her current practice location is 14044 W Camelback Rd Ste 118, Litchfield Park, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 547-2600.

Katelyn Danielle Walpole is licensed to practice in Arizona (license number 268180) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588418404.

Contact Information

	Katelyn Danielle Walpole, FNP
	14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481
	(623) 547-2600
	(623) 547-1899

Map and Direction

Provider's Profile

Full Name	Katelyn Danielle Walpole
Gender	Female
Speciality	Nurse Practitioner - Family
Location	14044 W Camelback Rd Ste 118, Litchfield Park, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588418404
Provider Enumeration Date: 04/16/2024
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 2668906975
Enrollment ID: I20241108002796

Medical Identifiers

Medical identifiers for Katelyn Danielle Walpole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588418404	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN.268180 (Arizona)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	RN.439689 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	268180 (Arizona)	Primary

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. Katelyn Danielle Walpole allows following entities to bill medicare on her behalf.

Entity Name	Mountain Park Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460

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. Katelyn Danielle Walpole 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
Katelyn Danielle Walpole, FNP 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 Ph: (623) 547-2600	Katelyn Danielle Walpole, FNP 14044 W Camelback Rd Ste 118, Litchfield Park, AZ 85340-9481 Ph: (623) 547-2600

Reviews and Comments

Nurse Practitioner Nurses in Litchfield Park, AZ

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Ronald A Rodriguez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5115 N Dysart Rd Ste 202-613, Litchfield Park, AZ 85340 Phone: 623-439-4369 Fax: 888-725-0660
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Sheena Hill-dilla, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13327 W Stella Ln, Litchfield Park, AZ 85340 Phone: 623-399-5678
Destini Dawn Mayfield, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 E Plaza Cir Dr Ste 8, Litchfield Park, AZ 85340 Phone: 602-399-9079

Katelyn Danielle Walpole, FNP - Medicare Nurse Practitioner in Litchfield Park, AZ