JEBEDIAH DANIEL WALSTON FNP-C
NPI 1912714577
Nurse Practitioner - Family in Middletown, NY
About Jebediah Daniel Walston Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEBEDIAH DANIEL WALSTON FNP-C (NPI 1912714577) is an individual family provider in Middletown, New York, licensed in New York (355499) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2024).
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
Jebediah Daniel Walston Fnp-c 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 Jebediah Walston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10022
- Reassigned Medicare billing, New York enrollment
- 187 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 10941 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jebediah Walston's NPI number?
The NPI number for Jebediah Walston is 1912714577. It was assigned to this individual provider in the NPPES registry on December 16, 2024.
Where is Jebediah Walston located?
Jebediah Walston practices at 28 Rykowski Ln, Middletown, NY 10941. The listed phone number is (845) 692-3376.
What is Jebediah Walston's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jebediah Walston enrolled in Medicare?
Yes. Jebediah Walston 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 Jebediah Walston's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jebediah Walston reassigns Medicare benefits to Schweiger Dermatology PLLC (New York, NY). 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 Jebediah Walston'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 Jebediah Walston was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Jebediah Daniel Walston, FNP-C · NPI 1912714577
Family physician in Middletown, New York. Individual provider, active in the CMS NPPES registry since December 16, 2024.
## Identity
- **NPI:** 1912714577 (Entity type: Individual)
- **Enumerated:** December 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 355499 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 28 RYKOWSKI LN, Middletown, NY 10941-4018
- **Phone:** (845) 692-3376
## 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:** Schweiger Dermatology PLLC (NPI 1831438662, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Drexel University College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** December 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912714577) · Data from the CMS NPPES public registry.