Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447196183 Individual Practitioner Female Practitioner

Kelly R Walter

Nurse Practitioner • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Kelly Walter is a registered healthcare professional specializing in Nurse Practitioner in Decatur, IL. Practice services are available at 4662 DOGWOOD CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4662 Dogwood Ct

Decatur, IL 625269326

Telephone 2174137519

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Decatur, IL (4929 Statewide)

Telehealth Adoption Rate
9.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 041.370135

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 27, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2026

Registered at 4662 DOGWOOD CT, DECATUR, IL 625269326 (Tel: 2174137519)

📍
Updated Business Mailing Address April 27, 2026

Registered at 4662 DOGWOOD CT, DECATUR, IL 625269326 (Tel: 2174137519)

👤
Provider Name / Credentials Updated April 27, 2026

Recorded as KELLY WALTER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Nurse Practitioner (License #041.370135 in IL)

🟢
Initial NPI Registration & Enumeration April 27, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447196183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2026
Last Update: April 27, 2026
Sole Proprietor: Yes

Mailing Address

4662 Dogwood Ct

Decatur, IL 625269326

Phone: 2174137519

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.