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

Active since August 17, 2018PECOS EnrolledAccepts Medicare Assignment
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: July 26, 2026.

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

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 and is a graduate of Other (2018).

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
Fax(574) 647-5878
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
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

Other Identifiers 1

Medicaid300021695IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Walsh Ag-acnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062759764
PECOS Enrollment IDI20190201001873
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.

Nurse Practitioner (Family)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery (Vascular Surgery)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery (Trauma Surgery)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Gerontology)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Physician Assistant (Surgical)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Adult Health)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Acute Care)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601

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 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.

Where is John Walsh located?

John Walsh practices at 621 Memorial Dr Ste 502, South Bend, IN 46601. The listed phone number is (574) 647-5875.

What is John Walsh's specialty?

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

Is John Walsh enrolled in Medicare?

Yes. John Walsh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Walsh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list John Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Walsh was last updated on April 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.