Mia McKenzie Walters, PA-C
Mia McKenzie Walters, PA-C is a Physician Assistant in Glen Carbon, Illinois. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Missouri.
- Years since qualifying
- 1
- Licensed in
- MO
- In the registry since
- 2025
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1455 Village Circle DrGlen Carbon, IL 62034-4321
Phone: (618) 477-1810
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2025038815 (MO) |
|---|
Record details
| NPI number | 1801687355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2025 |
| Last updated in NPPES | November 24, 2025 |
| Certification date | November 24, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Glen Carbon
-
Alana Bollone, PA
4802 S State Route 159, Glen Carbon, IL 62034-1904 · (618) 288-4388
-
Natalie D Menossi, PA
4230 S State Route 159, Glen Carbon, IL 62034-3201 · (618) 391-9443