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

Teresa Renee Walters

Individual provider Family Nurse Practitioner · NPI 1255090965

Teresa Renee Walters is a Nurse Practitioner in Lima, Ohio. Qualified in 2021, 5 years ago. Practices with Lima Memorial Professional Corporation, a 169-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

1003 Bellefontaine Ave Ste 125
Lima, OH 45804-1867
Phone: (419) 998-8207
Fax: (419) 998-8216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0029705 (OH)

Record details

NPI number1255090965
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2021
Last updated in NPPESDecember 27, 2021
Certification dateDecember 27, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lima Memorial Professional Corporation — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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