Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Walter Matheny II, APRNFNP-C

Individual provider Nurse Practitioner · NPI 1053911339

Walter Matheny II, APRNFNP-C is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2020, 6 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Licensed in
LA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Fax: (318) 629-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 216 W Union Street Ste A Minden, Minden, LA 71055 — (318) 299-6334

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 215856 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 215856 (LA)

Record details

NPI number1053911339
Entity typeIndividual (Type 1)
GenderMale
Credentials APRNFNP-C
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport