Mia McKenzie Walters, PA-C
Physician Assistant · Glen Carbon, IL
Mia McKenzie Walters, PA-C is a physician assistant with a practice address in Glen Carbon, Illinois, and NPI 1801687355, issued on May 14, 2025. Check the license with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mia McKenzie Walters
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 2025038815 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1455 Village Circle Dr, Glen Carbon, IL 62034
- Phone
- (618) 477-1810
- Enumerated
- May 14, 2025
- Record last updated
- Nov 24, 2025
- Medicare enrollment
- Enrolled (PECOS I20251121002764); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →
Verify Mia McKenzie Walters in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mia McKenzie Walters among 4,926 physician assistant records in Illinois
Mia McKenzie Walters, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 90% of them.
- NPI issued2025 · 90% of these records are older, 3% newer
- In a Medicare fileNo · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2025 · median 2019 among the 3,407 with a school on file
- Record last updated2025 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physician Assistant providers in Illinois
There are 4,926 physician assistant records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 4,926 in Illinois → Every provider in Glen Carbon → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Alana Bollone, PAGlen Carbon, IL 620341730926536
- Natalie Menossi, PAGlen Carbon, IL 620341912195447
- Lucas EdwardsGodfrey, IL 620351790315018
- James Hopper, PA-CGodfrey, IL 620351427016062
- Jason Manthei, PAGillespie, IL 620331477586121
- Morgan Peters, PA-CGodfrey, IL 620351790295301
- Donna Rasmussen, PA-CGillespie, IL 620331619345469
- Jessica Stricklin, PA-CGodfrey, IL 620351124650353
Common questions
What is Mia McKenzie Walters, PA-C's NPI number?
Mia McKenzie Walters, PA-C's National Provider Identifier (NPI) is 1801687355, issued on May 14, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Mia McKenzie Walters, PA-C located?
The NPPES record lists a practice address at 1455 Village Circle Dr, Glen Carbon, IL, 62034. Phone: (618) 477-1810. Providers update this record themselves, so call before visiting.
How can I verify Mia McKenzie Walters, PA-C's license?
Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.