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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Walsh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

U Of R Neurology Department
1.0 mi
Neurology
601 ELMWOOD AVE, BOX 278984
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1184725525 (585) 275-8420
University Of Rochester
1.0 mi
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group
NPI 1346285657 (585) 275-2100

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 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.

LAUREN KAY PALICKI DO
Pediatrics (Developmental - Behavioral Pediatrics)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2986
MARRA CHOFFIN
Counselor (Mental Health)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 279-7800
DR. STEVEN FEDCHAK PSY.D.
Psychologist (Clinical Child & Adolescent)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (716) 541-4743
MRS. LISA RAE LUXEMBERG
Social Worker
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2986
STEPHANIE NEUFEGLISE LMSW
Social Worker
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 273-3438
AMY BERNARDONI
Psychologist (Clinical)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 275-2986
DR. NICHOLAS I KILMER M.D.
Radiology (Diagnostic Radiology)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 784-2985
BRYAN S ZELLER NP
Nurse Practitioner (Psychiatric/Mental Health)
200 E RIVER RD
ROCHESTER, NY 14623
Monroe County (585) 784-2985

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 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.

Where is Nicole Walsh located?

Nicole Walsh practices at 200 E River Rd, Rochester, NY 14623. The listed phone number is (585) 275-2808.

What is Nicole Walsh's specialty?

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

Is Nicole Walsh enrolled in Medicare?

Yes. Nicole Walsh is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Walsh reassigns Medicare benefits to 2 organizations: U Of R Neurology Department (Rochester, NY) and University Of Rochester (Rochester, NY). Each 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 Nicole Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.