MS. ELAINE VIRGINIA WALKER P.A.
NPI 1275689713
Physician Assistant in Butner, NC
NPI Status: Active since January 26, 2007
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About ELAINE WALKER
This page provides the complete NPI Profile along with additional information for Elaine Walker, a primary care provider established in Butner, North Carolina with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1275689713 assigned on January 2007. The practitioner's primary taxonomy code is 363A00000X with license number 101464 (NC). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1275689713
- Provider Name
- MS. ELAINE VIRGINIA WALKER P.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1003 12TH ST BUTNER, NC 27509
- Location Phone
- (919) 575-7233
- Mailing Address
- 1330 UMSTEAD HOLLOW CT CARY, NC 27513
- Mailing Phone
- (919) 677-3842
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Elaine Walker sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 101464
- License State
- NC
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
- WellCare Secure Health Bronze - PPO
- WellCare Secure Health Gold - PPO
- WellCare Secure Health Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Elaine Walker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Established patient office or other outpatient visit, 30-39 minutes
Testing for presence of drug, by chemistry analyzers
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
This service was performed 103 times for 16 patientsA definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
This service was performed 43 times for 32 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 436 times for 116 patientsChemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
This service was performed 146 times for 45 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27509 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MS. ELAINE VIRGINIA WALKER P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 7 | 5 | 6 | 8 | 9 | 7 | 1 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 14 | 5 | 12 | 8 | 18 | 7 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 4 + 5 + 1 + 2 + 8 + 1 + 8 + 7 + 2 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1275689713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1588772651 | DR. LOU ANN CRUME M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7233 |
1982713095 | VICTOR RIZK Individual | Psychiatric Hospital | 1003 12TH ST BUTNER, NC 27509 (919) 575-7211 |
1124137013 | DR. ROBERT BRYAN BOMBERG M.D. Individual | Internal Medicine | 1003 12TH ST BUTNER, NC 27509 (919) 575-7302 |
1669582037 | DR. ARTI SAXENA M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7211 |
1659483972 | DR. OLIVIER CHRISTOPHE GOUST M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7621 |
1295846889 | LEANN NELSON MD Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7471 |
1639271380 | DR. ARLANE MARGOLIS PH.D. Individual | Psychologist (Clinical) | 1003 12TH ST BUTNER, NC 27509 (919) 575-2121 |
1982707949 | DR. SCOTT LAWRENCE SCHWARTZ PH. D. Individual | Psychologist (Clinical) | 1003 12TH ST JOHN UMSTEAD HOSPITAL/CPI BUTNER, NC 27509 (919) 575-2128 |
1649375064 | DR. CHARLES JOHNSON M. D. Individual | Internal Medicine | 1003 12TH ST BUTNER, NC 27509 (919) 575-2532 |
1790880540 | NANCY HAYES FERGUSON LCSW Individual | Social Worker | 1003 12TH ST BUTNER, NC 27509 (919) 575-2459 |
1851496855 | MRS. SUSAN RENEE LISTER MSW Individual | Social Worker (Clinical) | 1003 12TH ST JUH-REHAB UNIT BUTNER, NC 27509 (919) 575-2195 |
1073619672 | DR. ANGELA KAREN HODGE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST JOHN UMSTEAD HOSPITAL BUTNER, NC 27509 (919) 575-7233 |
1609975242 | DR. STEPHEN LEO OXLEY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7229 |
1386743417 | MRS. GAY INMAN WILLIAMS LCSW Individual | Social Worker (Clinical) | 1003 12TH ST JUH/REHAB UNIT BUTNER, NC 27509 (919) 575-2214 |
1528159746 | MS. PATRICIA GIBSON Individual | Social Worker (Clinical) | 1003 12TH ST BUTNER, NC 27509 (919) 575-2206 |
1285727412 | MS. NANZETTE JARMOND BLOUNT B.S.W.,M.ED. Individual | Social Worker | 1003 12TH ST BUTNER, NC 27509 (919) 575-7973 |
1295820124 | MS. LINDA LEE RUBIN FNP Individual | Nurse Practitioner (Family) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7233 |
1124114160 | DR. GARY BRIAN POHL M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7233 |
1831279397 | DR. CONSTANCE MARGOT HANES M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7233 |
1477621407 | LINWOOD R ALLSBROOK M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 1003 12TH ST BUTNER, NC 27509 (919) 575-7621 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275689713, enumerated in the NPI registry as an "individual" on January 26, 2007
The provider is located at 1003 12th St Butner, Nc 27509 and the phone number is (919) 575-7233
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Aetna CVS Health, UnitedHealthcare and WellCare of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms, Established patient office or other outpatient visit, 30-39 minutes and Testing for presence of drug, by chemistry analyzers.
This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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