JAMES ROBERT WALSDORF
NPI 1275479099
Student in an Organized Health Care Education/Training Program in Mount Clemens, MI
About James Robert Walsdorf NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES ROBERT WALSDORF (NPI 1275479099) is an individual student in an organized health care education/training program in Mount Clemens, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
James Robert Walsdorf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
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 James Walsdorf's NPI number?
The NPI number for James Walsdorf is 1275479099. It was assigned to this individual provider in the NPPES registry on April 24, 2026.
Where is James Walsdorf located?
James Walsdorf practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.
What is James Walsdorf's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is James Walsdorf enrolled in Medicare?
Yes. James Walsdorf is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for James Walsdorf was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# James Robert Walsdorf · NPI 1275479099
Student in an Organized Health Care Education/Training Program provider in Mount Clemens, Michigan. Individual provider, active in the CMS NPPES registry since April 24, 2026.
## Identity
- **NPI:** 1275479099 (Entity type: Individual)
- **Enumerated:** April 24, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 HARRINGTON ST, Mount Clemens, MI 48043-2920
- **Phone:** (586) 493-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275479099) · Data from the CMS NPPES public registry.