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NEISHELLE DIONNE WALCOTT
NPI 1447540901
Physician Assistant in Stamford, CT

Active since April 18, 2011PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
1086 LONG RIDGE RD, STAMFORD, CT 06903(203) 274-7426(203) 720-6550 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Neishelle Dionne Walcott NPPES

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

NEISHELLE DIONNE WALCOTT (NPI 1447540901) is an individual physician assistant in Stamford, Connecticut, licensed in New York (014488-1) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Mercy College (2009).

NPPES Registry Identity

NPI1447540901
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNEISHELLE DIONNE WALCOTT
Location Address1086 LONG RIDGE RDStamford, CT 06903-4404
Mailing Address1086 Long Ridge RdStamford, CT 06903-4404 · (203) 274-7426 · Fax (203) 720-6550
Phone(203) 274-7426
Fax(203) 720-6550
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2009
Enumeration DateApril 18, 2011
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1447540901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 014488-1
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.
1086 LONG RIDGE RD, Stamford, CT 06903
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Secondary Practice Location 1

Location 11825 Eastchester RdBronx, NY 10461-2301 · Phone (718) 920-2267

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

Neishelle Dionne Walcott 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 ID6800033069
PECOS Enrollment IDI20130507000072
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 5

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.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
19 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06903 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

REVERSE TIME WELLNESS INC
Family Medicine
1086 LONG RIDGE RD
STAMFORD, CT 06903
Western Connecticut Planning Region (203) 274-7426

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 Neishelle Walcott's NPI number?

The NPI number for Neishelle Walcott is 1447540901. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Neishelle Walcott located?

Neishelle Walcott practices at 1086 Long Ridge Rd, Stamford, CT 06903. The listed phone number is (203) 274-7426.

What is Neishelle Walcott's specialty?

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

Is Neishelle Walcott enrolled in Medicare?

Yes. Neishelle Walcott 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.

When was this NPI record last updated?

The NPPES record for Neishelle Walcott was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.