MS. THERESA WALSH RPA-C
NPI 1679877419
Physician Assistant in East Islip, NY

Q: What is Theresa Walsh's NPI number?

The NPI number for Theresa Walsh is 1679877419. It was assigned to this individual provider in the NPPES registry on January 10, 2011.

Q: What is Theresa Walsh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Walsh was last updated on January 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2011PECOS Enrolled

369 E MAIN ST, SUITE 3, EAST ISLIP, NY 11730(631) 581-4500(631) 581-5905 Get Directions Write a Review

NPPES record last updated: January 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Theresa Walsh Rpa-c NPPES

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

MS. THERESA WALSH RPA-C (NPI 1679877419) is an individual physician assistant in East Islip, New York, licensed in New York (011621) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679877419

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. THERESA WALSHCredential: RPA-C

Location Address369 E MAIN ST, SUITE 3East Islip, NY 11730-2800

Mailing Address369 E Main St, Suite 3East Islip, NY 11730-2800 · (631) 581-4500 · Fax (631) 581-5905

Phone(631) 581-4500

Fax(631) 581-5905

Sole ProprietorNo

Enumeration DateJanuary 10, 2011

✔ NPI 1679877419 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 · 011621

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.

369 E MAIN ST, East Islip, NY 11730

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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)

Ms. Theresa Walsh Rpa-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 11730 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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