DR. ANDREA WALSH DNP, FNP-C
NPI 1376992503
Nurse Practitioner - Family in Emmett, ID

Q: What is Andrea Walsh's NPI number?

The NPI number for Andrea Walsh is 1376992503. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Q: What is Andrea Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Walsh was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment

2020 S JOHNS AVE STE B, EMMETT, ID 83617(208) 369-4340(208) 369-4341 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2021, Aug 8, 2016 (2 updates tracked since 2016).

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About Dr. Andrea Walsh Dnp, Fnp-c NPPES

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

DR. ANDREA WALSH DNP, FNP-C (NPI 1376992503) is an individual family provider in Emmett, Idaho, licensed in Idaho (53922) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376992503

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. ANDREA WALSHCredential: DNP, FNP-C

Location Address2020 S JOHNS AVE STE BEmmett, ID 83617-1386

Mailing Address2020 S Johns Ave Ste BEmmett, ID 83617-1386 · (208) 369-4340 · Fax (208) 369-4340

Phone(208) 369-4340

Fax(208) 369-4341

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2016

Last NPPES UpdateApril 25, 20252 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1376992503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 53922

2020 S JOHNS AVE STE B, Emmett, ID 83617

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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 and accepts Medicare assignment

Dr. Andrea Walsh Dnp, Fnp-c 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 ID6002102746

PECOS Enrollment IDI20160907001312

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

27 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Valor Health

Critical Access Hospitals · Emmett, ID

OwnershipGovernment - Local

CMS Certification Number131318

Location1202 East Locust StreetEmmett, ID 83617 · Gem County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83617 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 5

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

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