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Active NPI 1801482294 Individual Practitioner Male Practitioner

Chadbourne Walters , APNP

Nurse Practitioner • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Chadbourne Walters, APNP is a certified Nurse Practitioner practicing in Appleton, WI. With approximately 6 years of clinical experience since completing medical education in 2020, Chadbourne Walters delivers high-quality medical care to the local community at 2105 E ENTERPRISE AVE.

Chadbourne Walters maintains professional affiliations with St Vincent Hospital-Hospital Sisters-Third Order Of St Francis, Ascension Ne Wisconsin, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2105 E Enterprise Ave
Ste 111

Appleton, WI 549137862

Telephone 9207316611
Fax 9207316732
Associated Practice Facility / Clinic
🏢 Valley Orthopedic Clinic Sc Facility NPI 1780628925

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
98.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walters (6 Years) 6 Yrs
Appleton Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 15 $186.00 $73.07
20610 Aspiration and/or injection of fluid from large joint
19 14 $513.16 $59.94
27130 Replacement of thigh bone and hip joint with prosthesis
13 13 $15459.00 $160.33
27447 Replacement of knee joint, both sides of knee
13 12 $11537.00 $159.98

Medical Specialties & State Licenses

CMS Verified: 2021-09-14
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 10333-33

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 10333

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wisconsin Department Of Safety And Professional Services (Advanced Practice Nurs
10333-33 (WI)
Commercial Insurance / Payer ID Wisconsin Department Of Safety And Professional Services (Registered Nurse)
187532-30 (WI)

Hospital & Practice Group Affiliations

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

835 S Van Buren St, Green Bay, WI 543013526

Phone: 9204330111

Ascension Ne Wisconsin, Inc

1506 S Oneida St, Appleton, WI 549151305

Phone: 9207382000

Practice Associates & Co-Workers

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

16 Associated Practitioners
Ashley Rockey , ATC

Specialist/Technologist, Other

NPI 1073528493

Certified Athletic Trainer

Lyndsey Maves , PA-C

Physician Assistant

NPI 1073597761

Physician Assistant (Certified)

Kristine Clark , OTC

Specialist/Technologist, Other

NPI 1073795506
Sheryl Gauthier , PA-C

Physician Assistant

NPI 1114231974

Physician Assistant (Certified)

Kim Willison , APNP

Nurse Practitioner - Adult Health

NPI 1225080955

Advanced Practice Nurse Prescriber

Bradley Borgen , APNP

Nurse Practitioner

NPI 1255383006

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Nurse Practitioner (License #10333 in WI)

📍
Updated Practice Location May 05, 2021

Registered at 2105 E ENTERPRISE AVE, STE 111, APPLETON, WI 549137862 (Tel: 9207316611)

📍
Updated Business Mailing Address April 06, 2021

Registered at 2105 E ENTERPRISE AVE, STE 111, APPLETON, WI 549137862

NPI Profile Active December 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2020

Registered at 1405 MILL ST, NEW LONDON, WI 549612155 (Tel: 9205312400)

📍
Updated Business Mailing Address December 20, 2020

Registered at 610 E ROOSEVELT ST, APPLETON, WI 549113744

👤
Provider Name / Credentials Updated December 20, 2020

Recorded as CHADBOURNE WALTERS, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2020

Nurse Practitioner (License #10333-33 in WI)

🟢
Initial NPI Registration & Enumeration December 19, 2020

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: 1801482294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2020
Last Update: September 14, 2021
Sole Proprietor: No

Mailing Address

2105 E Enterprise Ave, Ste 111

Appleton, WI 549137862

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.