NICHOLAS WALLE
NPI 1770701872
Radiology - Diagnostic Radiology in Providence, RI
About Nicholas Walle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS WALLE (NPI 1770701872) is an individual diagnostic radiology provider in Providence, Rhode Island, licensed in Rhode Island (LP00865) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Georgetown University School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicholas Walle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Nicholas Walle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 25 clinicians in this Medicare group
Honolulu, HI 96813
- Reassigned Medicare billing, Hawaii enrollment
- 664 clinicians in this Medicare group
Lihue, HI 96766
- Reassigned Medicare billing, Hawaii enrollment
- 298 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 55
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Queens Medical Center
Acute Care Hospitals · Honolulu, HIAdventist Health Castle
Acute Care Hospitals · Kailua, HIWilcox Memorial Hospital
Acute Care Hospitals · Lihue, HIStraub Clinic And Hospital
Acute Care Hospitals · Honolulu, HIPali Momi Medical Center
Acute Care Hospitals · Aiea, HIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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 Nicholas Walle's NPI number?
The NPI number for Nicholas Walle is 1770701872. It was assigned to this individual provider in the NPPES registry on April 23, 2007.
Where is Nicholas Walle located?
Nicholas Walle practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-8450.
What is Nicholas Walle's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Nicholas Walle enrolled in Medicare?
Yes. Nicholas Walle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicholas Walle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Walle reassigns Medicare benefits to 3 organizations: Radiology Associates, Inc (Honolulu, HI), Straub Clinic & Hospital (Honolulu, HI) and Kauai Medical Clinic (Lihue, HI). 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 Nicholas Walle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicholas Walle affiliated with any hospitals?
According to CMS data, Nicholas Walle is affiliated with The Queens Medical Center, Adventist Health Castle, Wilcox Memorial Hospital, Straub Clinic And Hospital and Pali Momi Medical Center.
When was this NPI record last updated?
The NPPES record for Nicholas Walle was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.