What is Susan Walstra's NPI number?

Susan Walstra's National Provider Identifier (NPI) is 1790076453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Susan Walstra's specialty?

Susan Walstra is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Susan Walstra located?

Susan Walstra's practice location on file with NPPES is 4601 Heatherwind Dr, Fort Wayne, IN 46815-7135.

What is Susan Walstra's phone number?

The practice phone number listed in the NPPES registry for Susan Walstra is (260) 420-1433.

Is Susan Walstra's NPI active?

Yes — Susan Walstra's NPI (1790076453) is active in the NPPES registry as of the last update on 2011-04-28.

IndividualActive

Susan Walstra, M.D.

NPI 1790076453 · Specialist · Fort Wayne, IN

Susan Walstra, M.D. is a Specialist provider in Fort Wayne, IN (NPI 1790076453).

Provider details

NPI number: 1790076453
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Female
Sole proprietor: Yes
License: 01034161A (IN)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 01034161A (IN)
Other Service Providers

Profile Score

Detailed profile(81/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4601 Heatherwind Dr

Apt. D

Fort Wayne, IN 46815-7135

Phone: (260) 420-1433

Fax: (260) 745-3643

Street-level locationGet directions

Mailing address