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MARY ELIZABETH WALSH
NPI 1417579871
Physician Assistant in New York, NY

Active since May 08, 2020PECOS Enrolled
1790 BROADWAY FL 8, NEW YORK, NY 10019(212) 664-9323 Get Directions Write a Review

NPPES record last updated: August 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2020, May 8, 2020 (2 updates tracked since 2020).

About Mary Elizabeth Walsh NPPES

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

MARY ELIZABETH WALSH (NPI 1417579871) is an individual physician assistant in New York, New York, licensed in New York (025428) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417579871
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY ELIZABETH WALSH
Location Address1790 BROADWAY FL 8New York, NY 10019-1412
Mailing Address668 Rossville AveStaten Island, NY 10309-1706 · (347) 996-0652
Phone(212) 664-9323
Sole ProprietorNo
Enumeration DateMay 8, 2020
Last NPPES UpdateAugust 8, 20202 updates tracked since enumeration
NPPES CertifiedAugust 8, 2020
✔ NPI 1417579871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 025428
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1790 BROADWAY FL 8, New York, NY 10019
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Walsh 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 10019 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 3

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

COURTNEY MONAGHAN
Physician Assistant (Surgical)
1790 BROADWAY FL 8
NEW YORK, NY 10019
New York County (212) 590-5580
JULIA GRACE BARROCA PA-C
Physician Assistant
1790 BROADWAY FL 8
NEW YORK, NY 10019
New York County (212) 664-9323
LOVLEEN KAUR SINGH PA-C
Physician Assistant
1790 BROADWAY FL 8
NEW YORK, NY 10019
New York County (212) 664-9323

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 Mary Walsh's NPI number?

The NPI number for Mary Walsh is 1417579871. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Mary Walsh located?

Mary Walsh practices at 1790 Broadway Fl 8, New York, NY 10019. The listed phone number is (212) 664-9323.

What is Mary Walsh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Walsh enrolled in Medicare?

Yes. Mary Walsh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Walsh was last updated on August 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.