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

Mariah Walters, PA-C

Individual provider Physician Assistant · NPI 1568311041

Mariah Walters, PA-C is a Physician Assistant in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2025, 1 year ago. Licensed in Missouri.

Years since qualifying
1
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 977-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2026030467 (MO)

Record details

NPI number1568311041
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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