JEBEDIAH DANIEL WALSTON FNP-C
NPI 1912714577
Nurse Practitioner - Family in Middletown, NY

Q: 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.

Q: What is Jebediah Walston's specialty?

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

Q: 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 19 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.

Active since December 16, 2024PECOS EnrolledAccepts Medicare Assignment

28 RYKOWSKI LN, MIDDLETOWN, NY 10941(845) 692-3376 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1912714577

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJEBEDIAH DANIEL WALSTONCredential: FNP-C

Location Address28 RYKOWSKI LNMiddletown, NY 10941-4018

Mailing Address50 Maple Ave Apt 1Warwick, NY 10990-1023 · (717) 758-9738

Phone(845) 692-3376

Sole ProprietorYes

Medical School CMSDrexel University College Of MedicineGraduated 2024

Enumeration DateDecember 16, 2024

NPPES CertifiedDecember 16, 2024

✔ NPI 1912714577 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 NY · 355499

28 RYKOWSKI LN, Middletown, NY 10941

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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 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.

PECOS PAC ID5991233983

PECOS Enrollment IDI20250103000856

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 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.

New Patient

$95.99 typical visit price

range $61.88 – $187.05

Typical copayment $23.99 (range $15.47 – $46.76)

Most-billed visit code 99203

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARRIE ANN ST AMAND RPA-C

Physician Assistant (Medical)