Kelsey Danielle Walts, in San Angelo, TX - Medicare Certified Nurse Midwife (cnm)

Kelsey Danielle Walts, is a medicare enrolled "Advanced Practice Midwife" in San Angelo, Texas. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Shannon Clinic and her current practice location is 3501 Knickerbocker Rd, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 747-2285.

Kelsey Danielle Walts is licensed to practice in Texas (license number 1096036) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053036673.

Contact Information

	Kelsey Danielle Walts,
	3501 Knickerbocker Rd, San Angelo, TX 76904-7610
	(325) 747-2285
	(325) 747-4635

Map and Direction

Provider's Profile

Full Name	Kelsey Danielle Walts
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	4 Years
Location	3501 Knickerbocker Rd, San Angelo, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Danielle Walts graduated from nursing school in 2022

NPI Data:

NPI Number: 1053036673
Provider Enumeration Date: 10/06/2022
Last Update Date: 06/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6103296462
Enrollment ID: I20221230001822

Medical Identifiers

Medical identifiers for Kelsey Danielle Walts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053036673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	1096036 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Shannon Medical Center	San angelo, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shannon Clinic	0840103727	465

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. Kelsey Danielle Walts allows following entities to bill medicare on her behalf.

Entity Name	Shannon Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702

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. Kelsey Danielle Walts 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
Kelsey Danielle Walts, Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 747-3408	Kelsey Danielle Walts, 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 747-2285

Reviews and Comments

Advanced Practice Midwife Nurses in San Angelo, TX

Mary-jo Urbano, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741
Cynthia Stokes, RN, MSN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1610 S Chadbourne St, San Angelo, TX 76903 Phone: 325-658-5339 Fax: 325-659-8534
Christina Arp, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-481-2285 Fax: 325-481-2056
Opal L Smith, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-658-1511

Kelsey Danielle Walts, - Medicare Certified Nurse Midwife (cnm) in San Angelo, TX