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Deactivated NPI 1174594733 Deactivated / Inactive NPI Male Practitioner

Benny L Walker , PA

Physician Assistant • St Paul, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Benny Walker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2006
NPI Deactivation Date January 04, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Benny Walker, PA was a registered Physician Assistant practicing in St Paul, MN. Throughout an active medical career spanning 16 years, Benny Walker provided care at the practice location at 2500 COMO AVE until profile deactivation on 2022-01-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, manual urinalysis test with examination using microscope, automated. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2500 Como Ave
Mail Stop 31100a

St Paul, MN 551081460

Telephone 6516416200
Fax 6516416205
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1932269867

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.8 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
33 Specialists

Practicing in St Paul, MN (4026 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
35 35 $178.50 $62.95

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9145

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Andrea Stephens , NP

Nurse Practitioner - Gerontology

NPI 1013109610

Nurse Practitioner

Dr. Katherine Munck , MD

Internal Medicine

NPI 1063832061

Doctor of Medicine (M.D.)

NPI 1073588273

Doctor of Medicine (M.D.)

Katherine Foster , PA

Physician Assistant

NPI 1073826079

Physician Assistant

Nancy Roberts , RD LD

Dietitian, Registered

NPI 1083689954

RDLD

NPI 1124090295

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
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NPI Profile Deactivated January 04, 2022

Record deactivated on January 04, 2022

📍
Updated Practice Location November 29, 2018

Registered at 2220 RIVERSIDE AVE, MINNEAPOLIS, MN 55454 (Tel: 9528538800)

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Updated Business Mailing Address November 29, 2018

Registered at 8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 554254516 (Tel: 9528538800)

NPI Profile Active February 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2017

Registered at 2500 COMO AVE, MAIL STOP 31100A, ST PAUL, MN 551081460 (Tel: 6516416200)

📍
Updated Business Mailing Address February 09, 2017

Registered at 8100 34TH AVE S, BLOOMINGTON, MN 554251672 (Tel: 9528835463)

👤
Provider Name / Credentials Updated February 09, 2017

Recorded as BENNY WALKER, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2017

Physician Assistant (License #9145 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2500 COMO AVE, MAIL STOP 31100A, ST PAUL, MN 551081460 (Tel: 6516416200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, BLOOMINGTON, MN 554251672 (Tel: 9528835463)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BENNY WALKER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #9145 in MN)

🟢
Initial NPI Registration & Enumeration January 31, 2006

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: 1174594733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: July 08, 2007
Deactivation Date: January 04, 2022

Mailing Address

8100 34th Ave S

Bloomington, MN 554251672

Phone: 9528835463

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.