COLLEEN WALSH RN, CPNP
NPI 1497980387
Nurse Practitioner - Pediatrics in Saint Louis, MO
About Colleen Walsh Rn, Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN WALSH RN, CPNP (NPI 1497980387) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2004023208) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Colleen Walsh Rn, Cpnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Colleen Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
ST.LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Colleen Walsh's NPI number?
The NPI number for Colleen Walsh is 1497980387. It was assigned to this individual provider in the NPPES registry on May 20, 2009.
Where is Colleen Walsh located?
Colleen Walsh practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5674.
What is Colleen Walsh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Colleen Walsh enrolled in Medicare?
Yes. Colleen 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.
Which organization bills Medicare for Colleen Walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Walsh reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colleen Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Colleen Walsh was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Colleen Walsh, RN, CPNP · NPI 1497980387
Pediatrics physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since May 20, 2009.
## Identity
- **NPI:** 1497980387 (Entity type: Individual)
- **Enumerated:** May 20, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2004023208 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1465 S GRAND BLVD, Saint Louis, MO 63104-1003
- **Phone:** (314) 577-5674 · **Fax:** (314) 268-4141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** October 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497980387) · Data from the CMS NPPES public registry.