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

Kelsey Danielle Walts

Individual provider Advanced Practice Midwife · NPI 1053036673

Kelsey Danielle Walts is a Certified Nurse Midwife (CNM) in San Angelo, Texas. Qualified in 2022, 4 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022

Practice location Address checks out

3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone: (325) 747-2285
Fax: (325) 747-4635
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 1096036 (TX)

Record details

NPI number1053036673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing addressPo Box 22000, San Angelo, TX 76902-7200

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Angelo