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KATHLEEN ELIZABETH WALSH NURSE PRACTITIONER
NPI 1790456127
Nurse Practitioner - Family in Philadelphia, PA

Active since September 24, 2021PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(800) 879-2467 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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.

NPPES Registry Identity

NPI1790456127
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN ELIZABETH WALSHCredential: NURSE PRACTITIONER
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address121 Foxwood DrMoorestown, NJ 08057-4107 · (609) 670-3824
Phone(800) 879-2467
Sole ProprietorNo
Enumeration DateSeptember 24, 2021
NPPES CertifiedSeptember 23, 2021
✔ NPI 1790456127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP023659
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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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)

Kathleen Elizabeth Walsh Nurse Practitioner 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 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.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

ELIZABETH A JAMME MD
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MEENA THAYU M.D.
Pediatrics (Pediatric Gastroenterology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
RICHARD M DONNER M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
MARIANNE M GLANZMAN M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ABIGAIL F FARBER M.D.
Pediatrics
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
BEVERLY J LANGE M.D.
Pediatrics (Pediatric Hematology-Oncology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
PAUL J HONIG M.D.
Dermatology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ROSANNA POLLACK CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, 4TH FLOOR WOOD BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4953

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Walsh was last updated on September 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.