NICOLE J WALSH PNP
NPI 1124697305
Nurse Practitioner - Pediatrics in Rochester, NY

Q: What is Nicole Walsh's NPI number?

The NPI number for Nicole Walsh is 1124697305. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Nicole Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Walsh was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 22, 2021PECOS Enrolled

200 E RIVER RD, ROCHESTER, NY 14623(585) 275-2808(585) 275-3683 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Jul 30, 2021, Jun 22, 2021 (3 updates tracked since 2021).

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About Nicole J Walsh Pnp NPPES

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

NICOLE J WALSH PNP (NPI 1124697305) is an individual pediatrics provider in Rochester, New York, licensed in New York (F383255) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124697305

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameNICOLE J WALSHCredential: PNP

Location Address200 E RIVER RDRochester, NY 14623-1212

Mailing Address601 Elmwood Ave Box 278984Rochester, NY 14642-0001 · (585) 275-2808 · Fax (585) 275-3683

Phone(585) 275-2808

Fax(585) 275-3683

Sole ProprietorNo

Enumeration DateJune 22, 2021

Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration

NPPES CertifiedJuly 30, 2021

✔ NPI 1124697305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · F383255

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 383255 (NY)

200 E RIVER RD, Rochester, NY 14623

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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)

Nicole J Walsh Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14623 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. STEVEN FEDCHAK PSY.D.

Psychologist (Clinical Child & Adolescent)