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

Richard Walters

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154013829

Richard Walters is an Internal Medicine in Jonesboro, Arkansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2023, 3 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
University of Kansas School of Med (KC/WICH/SAL)
In the registry since
2023
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Practice location Address checks out

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone: (870) 936-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154013829
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address4909 Reserve Blvd Apt C202, Jonesboro, AR 72405-8358

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2023 (3 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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