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REILLY JOHNSTON-WALSH PA-C
NPI 1093592685
Physician Assistant in Pinellas Park, FL

Active since September 08, 2023PECOS Enrolled
3110 GRAND AVE APT 1107, PINELLAS PARK, FL 33782(717) 422-2866 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reilly Johnston-walsh Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REILLY JOHNSTON-WALSH PA-C (NPI 1093592685) is an individual physician assistant in Pinellas Park, Florida and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093592685
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREILLY JOHNSTON-WALSHCredential: PA-C
Location Address3110 GRAND AVE APT 1107Pinellas Park, FL 33782-6152
Mailing Address3110 Grand Ave Apt 1107Pinellas Park, FL 33782-6152
Phone(717) 422-2866
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1093592685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3110 GRAND AVE APT 1107, Pinellas Park, FL 33782
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reilly Johnston-walsh Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587135991
PECOS Enrollment IDI20260607000072
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33782 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Reilly Johnston-walsh's NPI number?

The NPI number for Reilly Johnston-walsh is 1093592685. It was assigned to this individual provider in the NPPES registry on September 8, 2023.

Where is Reilly Johnston-walsh located?

Reilly Johnston-walsh practices at 3110 Grand Ave Apt 1107, Pinellas Park, FL 33782. The listed phone number is (717) 422-2866.

What is Reilly Johnston-walsh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Reilly Johnston-walsh enrolled in Medicare?

Yes. Reilly Johnston-walsh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reilly Johnston-walsh was last updated on September 8, 2023. 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.