KATHLEEN ELIZABETH WALSH NURSE PRACTITIONER
NPI 1790456127
Nurse Practitioner - Family in Philadelphia, PA
About Kathleen Elizabeth Walsh Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ELIZABETH WALSH NURSE PRACTITIONER (NPI 1790456127) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP023659) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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
Kathleen Elizabeth Walsh Nurse Practitioner 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 Reassignment
Medicare enrollment records show Kathleen Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,225 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kathleen Walsh's NPI number?
The NPI number for Kathleen Walsh is 1790456127. It was assigned to this individual provider in the NPPES registry on September 24, 2021.
Where is Kathleen Walsh located?
Kathleen Walsh practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (800) 879-2467.
What is Kathleen Walsh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Walsh enrolled in Medicare?
Yes. Kathleen Walsh 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 organization bills Medicare for Kathleen Walsh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Walsh reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The 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 Kathleen 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 Kathleen Walsh was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kathleen Elizabeth Walsh, NURSE PRACTITIONER · NPI 1790456127
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 24, 2021.
## Identity
- **NPI:** 1790456127 (Entity type: Individual)
- **Enumerated:** September 24, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP023659 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (800) 879-2467
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care Associates, Inc (NPI 1033204086, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790456127) · Data from the CMS NPPES public registry.