ELAINE JUSTINE WALSH CRNP
NPI 1043429590
Nurse Practitioner - Obstetrics & Gynecology in Philadelphia, PA
About Elaine Justine Walsh Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELAINE JUSTINE WALSH CRNP (NPI 1043429590) is an individual obstetrics & gynecology provider in Philadelphia, Pennsylvania, licensed in New Jersey (26NJ00338700) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elaine Justine Walsh Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Elaine Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Haddon Township, NJ 08108
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elaine Walsh's NPI number?
The NPI number for Elaine Walsh is 1043429590. It was assigned to this individual provider in the NPPES registry on May 22, 2007. The provider is also known as Elaine Justine Paul.
Where is Elaine Walsh located?
Elaine Walsh practices at 3400 Spruce St 1 West Gates, Philadelphia, PA 19104. The listed phone number is (215) 662-2730.
What is Elaine Walsh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Elaine Walsh enrolled in Medicare?
Yes. Elaine Walsh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Elaine Walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Walsh reassigns Medicare benefits to Virtua Medical Group, PA (Haddon Township, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elaine Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elaine Walsh accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Elaine Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Elaine Walsh was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Elaine Justine Walsh, CRNP · NPI 1043429590
Obstetrics & Gynecology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1043429590 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** 26NJ00338700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, 1 WEST GATES, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-2730
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Virtua Medical Group, PA (NPI 1932659778, Haddon Township, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 20, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1043429590) · Data from the CMS NPPES public registry.