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MS. ALISABETH ANNE WALBURN PA-C
NPI 1639707045
Physician Assistant in Syracuse, NY

Active since March 31, 2020PECOS Enrolled
5794 WIDEWATERS PKWY, SYRACUSE, NY 13214(315) 422-1513 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2024, Apr 28, 2021, Mar 31, 2020 (3 updates tracked since 2020).

About Ms. Alisabeth Anne Walburn Pa-c NPPES

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

MS. ALISABETH ANNE WALBURN PA-C (NPI 1639707045) is an individual physician assistant in Syracuse, New York, licensed in New York (026135) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639707045
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ALISABETH ANNE WALBURNCredential: PA-C
Location Address5794 WIDEWATERS PKWYSyracuse, NY 13214-1845
Mailing Address5794 Widewaters PkwySyracuse, NY 13214-1845 · (315) 422-1513
Phone(315) 422-1513
Sole ProprietorYes
Enumeration DateMarch 31, 2020
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1639707045 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 · 026135
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.
5794 WIDEWATERS PKWY, Syracuse, NY 13214
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alisabeth Anne Walburn Pa-c 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 13214 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 16

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

MS. SHERI A SPINK-PALMIERI RPA
Physician Assistant
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
LYNNE MCILVAIN RPAC
Physician Assistant (Medical)
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
JENNIFER LYNNE LAFRANCE NP-C
Nurse Practitioner
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
HEATHER MACHOVEC PA
Physician Assistant
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
DR. RAMZI KHAIRALLAH MD
Internal Medicine (Rheumatology)
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
GALE TESTA NP
Nurse Practitioner
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
DR. GEORGE MTANOS MD
Internal Medicine (Rheumatology)
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513
JENNIFER L LYNCH RPA-C
Physician Assistant (Medical)
5794 WIDEWATERS PKWY
SYRACUSE, NY 13214
Onondaga County (315) 422-1513

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 Alisabeth Walburn's NPI number?

The NPI number for Alisabeth Walburn is 1639707045. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Alisabeth Walburn located?

Alisabeth Walburn practices at 5794 Widewaters Pkwy, Syracuse, NY 13214. The listed phone number is (315) 422-1513.

What is Alisabeth Walburn's specialty?

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

Is Alisabeth Walburn enrolled in Medicare?

Yes. Alisabeth Walburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alisabeth Walburn was last updated on April 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.