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

Mr. Luke M Walters, PA-C

Individual provider Medical Physician Assistant · NPI 1043577562

Mr. Luke M Walters, PA-C is a Physician Assistant in Mount Vernon, Washington. Qualified in 2011, 15 years ago. Practices with Illinois Dermatology Institute, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
15
Licensed in
WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2320 Freeway Dr
Mount Vernon, WA 98273-5445
Phone: (360) 814-6810
Fax: (360) 814-6915
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OA60738463 (WA)
Physician Assistant Taxonomy 363A00000X · Licence OA60738463 (WA)

Record details

NPI number1043577562
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2012
Last updated in NPPESMay 3, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Illinois Dermatology Institute, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon