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

Walter Lewis Toller III

Individual provider Nurse Practitioner · NPI 1760060636

Walter Lewis Toller III is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with Toller Enterprises, LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2021

Practice location Address checks out

2439 E Lafayette Ave
Baltimore, MD 21213-2562
Phone: (410) 530-6612
Fax: (410) 747-4076
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence R197972 (MD)

Record details

NPI number1760060636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Toller Enterprises, Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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