DR. NICOLETTE C WALSH MD
NPI 1760416275
Family Medicine in Erie, PA

Active since July 10, 2006PECOS Enrolled
93.78/100
CMS Quality Rating
4247 W RIDGE RD STE 105, ERIE, PA 16506(814) 838-2468(814) 835-2599 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2020, Mar 21, 2019 (2 updates tracked since 2019).

About Dr. Nicolette C Walsh Md NPPES

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

DR. NICOLETTE C WALSH MD (NPI 1760416275) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD041295L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cabot.

NPPES Registry Identity

NPI1760416275
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLETTE C WALSHCredential: MD
Location Address4247 W RIDGE RD STE 105Erie, PA 16506
Mailing Address4247 W Ridge Rd Ste 105Erie, PA 16506-1746 · (814) 838-2468
Fax(814) 835-2599
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1760416275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD041295L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4247 W RIDGE RD STE 105, Erie, PA 16506

Secondary Practice Location 1

Location 1112 Marwood Rd, #5000Cabot, PA 16023-2239 · Phone (724) 352-4448 · Fax (724) 352-4412

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicolette C Walsh Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicolette Walsh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
Family Medicine
112 MARWOOD RD, #5000
Cabot, PA 16023
  • Reassigned Medicare billing, Pennsylvania enrollment
Family Medicine
1500 VILLAGE RUN RD, SUITE 308
Wexford, PA 15090
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16506 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims28 services$6.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers16 claims16 services$81.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Nurse Practitioner (Family)
4247 W RIDGE RD STE 105
ERIE, PA 16506
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Nurse Practitioner
4247 W RIDGE RD STE 105
ERIE, PA 16506
Physician Assistant
4247 W RIDGE RD STE 105
ERIE, PA 16506
Family Medicine
4247 W RIDGE RD STE 105
ERIE, PA 16506
Nurse Practitioner
4247 W RIDGE RD STE 105
ERIE, PA 16506
Dietitian, Registered
4247 W RIDGE RD STE 105
ERIE, PA 16506

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 Nicolette Walsh's NPI number?

The NPI number for Nicolette Walsh is 1760416275. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Nicolette Walsh located?

Nicolette Walsh practices at 4247 W Ridge Rd Ste 105, Erie, PA 16506. The listed phone number is (814) 838-2468.

What is Nicolette Walsh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicolette Walsh enrolled in Medicare?

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

Which organizations bill Medicare for Nicolette Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Walsh reassigns Medicare benefits to 3 organizations: St Vincent Medical Education And Research Institute Inc (Erie, PA), (Cabot, PA) and Martin G Gregorio MD And Associates PC (Wexford, PA). Each 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 Nicolette Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicolette Walsh was last updated on October 8, 2020. 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.