JOHN WALSH AG-ACNP
NPI 1316427560
Nurse Practitioner - Acute Care in South Bend, IN

Q: What is John Walsh's NPI number?

The NPI number for John Walsh is 1316427560. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Q: What is John Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for John Walsh was last updated on April 28, 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 August 17, 2018PECOS Enrolled

621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875(574) 647-5878 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2023, Mar 16, 2023, May 31, 2019 and 1 more (4 updates tracked since 2018).

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About John Walsh Ag-acnp NPPES

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

JOHN WALSH AG-ACNP (NPI 1316427560) is an individual acute care provider in South Bend, Indiana, licensed in Indiana (71008427A) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316427560

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJOHN WALSHCredential: AG-ACNP

Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (547) 647-1840

Phone(574) 647-5875

Fax(574) 647-5878

Sole ProprietorYes

Enumeration DateAugust 17, 2018

Last NPPES UpdateApril 28, 20234 updates tracked since enumeration

NPPES CertifiedApril 28, 2023

✔ NPI 1316427560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in IN · 71008427A

621 MEMORIAL DR STE 502, South Bend, IN 46601

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Other Identifiers 1

Medicaid300021695IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Walsh Ag-acnp 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 46601 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT G. CREDI MD

Surgery