Mrs Kondi O Walters-smith, CRNP - Medicare Nurse Practitioner in Columbia, MD

Mrs Kondi O Walters-smith, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Maryland. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Promed Preferred Md Professional Corporation and her current practice location is 12114 Blue Flag Way, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 741-0307.

Mrs Kondi O Walters-smith is licensed to practice in Maryland (license number R180720) 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 1780190595.

Contact Information

Mrs Kondi O Walters-smith, CRNP
12114 Blue Flag Way,
Columbia, MD 21044-2753
(301) 741-0307
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kondi O Walters-smith
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location12114 Blue Flag Way, Columbia, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kondi O Walters-smith graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1780190595
  • Provider Enumeration Date: 12/18/2017
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496269391
  • Enrollment ID: I20250806003324

Medical Identifiers

Medical identifiers for Mrs Kondi O Walters-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780190595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R180720 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Promed Preferred Md Professional Corporation35770031105

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. Mrs Kondi O Walters-smith 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 AddressPractice Location Address
Mrs Kondi O Walters-smith, CRNP
12114 Blue Flag Way,
Columbia, MD 21044-2753

Ph: (301) 741-0307
Mrs Kondi O Walters-smith, CRNP
12114 Blue Flag Way,
Columbia, MD 21044-2753

Ph: (301) 741-0307

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.