CHENOAH WALSH NP
NPI 1508235896
Nurse Practitioner - Family in Grand Rapids, MI
About Chenoah Walsh Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHENOAH WALSH NP (NPI 1508235896) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704275205) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chenoah Walsh Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Chenoah Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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 49525 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Chenoah Walsh's NPI number?
The NPI number for Chenoah Walsh is 1508235896. It was assigned to this individual provider in the NPPES registry on September 17, 2015. The provider is also known as Chenoah Dickinson-Hendershot.
Where is Chenoah Walsh located?
Chenoah Walsh practices at 1471 E Beltline Ave NE Ste 102, Grand Rapids, MI 49525. The listed phone number is (616) 685-3414.
What is Chenoah Walsh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chenoah Walsh enrolled in Medicare?
Yes. Chenoah Walsh is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Chenoah Walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chenoah Walsh reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Chenoah Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chenoah Walsh accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Chenoah 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 Chenoah Walsh was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Chenoah Walsh, NP · NPI 1508235896
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since September 17, 2015.
## Identity
- **NPI:** 1508235896 (Entity type: Individual)
- **Enumerated:** September 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704275205 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1471 E BELTLINE AVE NE, STE 102, Grand Rapids, MI 49525-4548
- **Phone:** (616) 685-3414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508235896) · Data from the CMS NPPES public registry.