THOMAS WALSH A.N.P
NPI 1285756577
Nurse Practitioner - Adult Health in Staten Island, NY

Q: What is Thomas Walsh's NPI number?

The NPI number for Thomas Walsh is 1285756577. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Thomas Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Walsh was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 06, 2007PECOS Enrolled

4771 HYLAN BLVD, STATEN ISLAND, NY 10312(718) 948-8200(718) 420-2718 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2019, Nov 1, 2017, Feb 7, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Thomas Walsh A.n.p NPPES

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

THOMAS WALSH A.N.P (NPI 1285756577) is an individual adult health provider in Staten Island, New York, licensed in New York (306239) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285756577

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameTHOMAS WALSHCredential: A.N.P

Location Address4771 HYLAN BLVDStaten Island, NY 10312

Mailing Address55 Water St, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 948-8200

Fax(718) 420-2718

Sole ProprietorNo

Enumeration DateApril 6, 2007

Last NPPES UpdateOctober 1, 20194 updates tracked since enumeration

✔ NPI 1285756577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 306239

4771 HYLAN BLVD, Staten Island, NY 10312

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Secondary Practice Locations 2

Location 14771 Hylan BlvdStaten Island, NY 10312 · Phone (718) 948-8200

Location 21050 Clove RoadStaten Island, NY 10301-3627 · Phone (718) 816-6440 · Fax (718) 816-3611

Other Identifiers 1

Medicaid03512961NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Walsh A.n.p 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 Reassignment

Medicare enrollment records show Thomas Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC

7.0 mi

Internal Medicine

1050 CLOVE RD, UCC
Staten Island, NY 10301

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1063954113 (646) 680-1525

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 10312 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

KRISTIN FRANCES LANGFORD PA

Physician Assistant