JASON P WALSH
NPI 1629542923
Nurse Practitioner in Oakland, CA

Active since January 20, 2019PECOS Enrolled
3100 TELEGRAPH AVE STE 2102, OAKLAND, CA 94609(510) 286-8160 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2019, Jan 20, 2019 (2 updates tracked since 2019).

About Jason P Walsh NPPES

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

JASON P WALSH (NPI 1629542923) is an individual nurse practitioner in Oakland, California, licensed in California (95009795) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629542923
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJASON P WALSH
Location Address3100 TELEGRAPH AVE STE 2102Oakland, CA 94609-3210
Mailing Address3100 Telegraph Ave Ste 2102Oakland, CA 94609-3210 · (510) 286-8160
Sole ProprietorNo
Enumeration DateJanuary 20, 2019
Last NPPES UpdateOctober 3, 20192 updates tracked since enumeration
NPI 1629542923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95009795
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95009795 (CA)
3100 TELEGRAPH AVE STE 2102, Oakland, CA 94609

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jason P 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 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 2

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

Family Medicine
3100 TELEGRAPH AVE STE 2102
OAKLAND, CA 94609
Family Medicine
3100 TELEGRAPH AVE STE 2102
OAKLAND, CA 94609

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 Jason Walsh's NPI number?

The NPI number for Jason Walsh is 1629542923. It was assigned to this individual provider in the NPPES registry on January 20, 2019.

Where is Jason Walsh located?

Jason Walsh practices at 3100 Telegraph Ave Ste 2102, Oakland, CA 94609. The listed phone number is (510) 286-8160.

What is Jason Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jason Walsh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jason Walsh was last updated on October 3, 2019. 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.