NPIMap

Individual provider Active NPI

Beth Anne Hicks Walsh, P.A.C

  • Medical Physician Assistant
  • Westminster, MD
National Provider Identifier
1003856469
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002057 Issued in MD
Practice address
826 Washington Rd Ste 120
Westminster, MD 21157-5779
Phone
(410) 848-2444
Fax
(410) 857-1634
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0002057 MD Primary

Addresses

Primary practice location

826 Washington Rd Ste 120
Westminster, MD 21157-5779

Mailing address

826 Washington Rd Ste 120
Westminster, MD 21157-5779
Phone (410) 848-2444

Other identifiers 1

IdentifierTypeStateIssuer
2638822OtherMDUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000332 MD Practitioner - Physician Assistant 8224296108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

10803 Falls Rd
Lutherville, MD 21093-4502
Phone (410) 616-7645

10803 Falls Rd Pavilion III
Greenspring Station ASC
Lutherville, MD 21093-4502
Phone (410) 955-6108

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

6201 Greenleigh Ave
Middle River, MD 21220-2004

Hospital & facility affiliations

  • Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC CurrentSince Jan 1, 2012 Accepting new patients
Johns Hopkins University CurrentSince Sep 28, 2020 Accepting new patients
Johns Hopkins University CurrentSince Sep 28, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Carroll Health Group, LLC PastSince Apr 27, 2025 Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

826 Washington Rd
Ste 120
Westminster, MD 21157
Phone (410) 848-2444

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Interoperability endpoints

  • Direct secure messaging: bwalsh772460@direct.hopkinsmedicine.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1003856469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD STE 120",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575779",
            "telephone_number": "410-848-2444",
            "fax_number": "410-857-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD STE 120",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575779",
            "telephone_number": "410-848-2444",
            "fax_number": "410-857-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "BETH",
        "middle_name": "ANNE HICKS",
        "name_prefix": "Mrs.",
        "credential": "P.A.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2638822",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.