MICHAEL S WALSH PA-C
NPI 1164584686
Physician Assistant - Medical in Pueblo, CO

Q: What is Michael Walsh's NPI number?

The NPI number for Michael Walsh is 1164584686. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Michael Walsh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Walsh was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 December 14, 2006PECOS Enrolled

3116 N. ELIZABETH, PUEBLO, CO 81008(719) 542-7222(719) 542-5034 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael S Walsh Pa-c NPPES

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

MICHAEL S WALSH PA-C (NPI 1164584686) is an individual medical provider in Pueblo, Colorado, licensed in Colorado (1662) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164584686

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMICHAEL S WALSHCredential: PA-C

Location Address3116 N. ELIZABETHPueblo, CO 81008

Mailing Address3116 N Elizabeth StPueblo, CO 81008-1163 · (719) 542-7222 · Fax (719) 542-5034

Phone(719) 542-7222

Fax(719) 542-5034

Sole ProprietorNo

Enumeration DateDecember 14, 2006

Last NPPES UpdateMarch 5, 2013

✔ NPI 1164584686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CO · 1662

3116 N. ELIZABETH, Pueblo, CO 81008

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Other Identifiers 1

Other840644739CO · Ein

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael S Walsh Pa-c 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.

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 Michael Walsh's NPI number?

The NPI number for Michael Walsh is 1164584686. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Michael Walsh located?

Michael Walsh practices at 3116 N. Elizabeth, Pueblo, CO 81008. The listed phone number is (719) 542-7222.

What is Michael Walsh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Walsh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Walsh was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.