Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chadbourne Walters, APNP

Individual provider Family Nurse Practitioner · NPI 1801482294

Chadbourne Walters, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2020, 6 years ago. Practices with Ascension NE Wisconsin, Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2105 E Enterprise Ave Ste 111
Appleton, WI 54913-7862
Phone: (920) 731-6611
Fax: (920) 731-6732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10333-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10333 (WI)

Record details

NPI number1801482294
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedDecember 19, 2020
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address2105 E Enterprise Ave, Ste 111, Appleton, WI 54913-7862

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ascension Ne Wisconsin, Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Appleton