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MICHAEL EDWARD WALSTON
NPI 1619562667
Student in an Organized Health Care Education/Training Program in Portsmouth, VA

Active since March 02, 2021PECOS Enrolled
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-2339 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 23, 2022, Aug 4, 2022, Mar 2, 2021 (3 updates tracked since 2021).

About Michael Edward Walston NPPES

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

MICHAEL EDWARD WALSTON (NPI 1619562667) is an individual student in an organized health care education/training program in Portsmouth, Virginia and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619562667
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL EDWARD WALSTON
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address1931 Schley AveSan Antonio, TX 78210-4331 · (206) 683-7598
Phone(757) 953-2339
Sole ProprietorNo
Enumeration DateMarch 2, 2021
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1619562667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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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)

Michael Edward Walston 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.

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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
MRS. WILLAR MAE BAUM L.C.S.W.
Social Worker (Clinical)
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-9767

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 Michael Walston's NPI number?

The NPI number for Michael Walston is 1619562667. It was assigned to this individual provider in the NPPES registry on March 2, 2021.

Where is Michael Walston located?

Michael Walston practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-2339.

What is Michael Walston's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Walston enrolled in Medicare?

Yes. Michael Walston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Walston was last updated on August 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.