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JACQUELYN MARIE WALSH APRN
NPI 1891064655
Nurse Practitioner - Family in St Petersburg, FL

Active since December 23, 2011PECOS Enrolled
625 6TH AVE S STE 310, ST PETERSBURG, FL 33701(727) 767-2243(727) 767-4299 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2022, Nov 6, 2018, Oct 11, 2018 (3 updates tracked since 2018).

About Jacquelyn Marie Walsh Aprn NPPES

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

JACQUELYN MARIE WALSH APRN (NPI 1891064655) is an individual family provider in St Petersburg, Florida, licensed in Florida (ARNP9492462) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1891064655
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN MARIE WALSHCredential: APRN
Location Address625 6TH AVE S STE 310St Petersburg, FL 33701-4664
Mailing Address3003 W Trilby AveTampa, FL 33611-4430 · (813) 777-9522
Phone(727) 767-2243
Fax(727) 767-4299
Sole ProprietorNo
Enumeration DateDecember 23, 2011
Last NPPES UpdateMay 27, 20223 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1891064655 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
Licenses✔ Licensed in FL · ARNP9492462✔ Licensed in GA · RN214988
625 6TH AVE S STE 310, St Petersburg, FL 33701
Open in Google Maps ↗

Secondary Practice Location 1

Location 12700 University Square DrTampa, FL 33612-5513 · Phone (813) 253-2721 · Fax (813) 977-3720

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Marie Walsh Aprn 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

2

Medicare enrollment records show Jacquelyn Walsh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Physician Services, Inc.
0.1 mi
Pediatrics
501 6TH AVE S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 360 clinicians in this Medicare group
NPI 1770532798 (727) 898-7451
Mori Bean And Brooks Inc
19 mi
Diagnostic Radiology
1 TAMPA GENERAL CIR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,130 clinicians in this Medicare group
NPI 1093782070 (904) 236-5884

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 33701 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Jacquelyn Walsh's NPI number?

The NPI number for Jacquelyn Walsh is 1891064655. It was assigned to this individual provider in the NPPES registry on December 23, 2011.

Where is Jacquelyn Walsh located?

Jacquelyn Walsh practices at 625 6th Ave S Ste 310, St Petersburg, FL 33701. The listed phone number is (727) 767-2243.

What is Jacquelyn Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacquelyn Walsh enrolled in Medicare?

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

Which organizations bill Medicare for Jacquelyn Walsh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Walsh reassigns Medicare benefits to 2 organizations: Pediatric Physician Services, Inc. (St Petersburg, FL) and Mori Bean And Brooks Inc (Tampa, FL). 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 Jacquelyn Walsh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Walsh accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jacquelyn Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacquelyn Walsh was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.