NPIMap

Individual provider Active NPI

Jacqueline A. Walsh, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Phoenixville, PA
National Provider Identifier
1154341857
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
VP005895T Issued in PA
Practice address
799 Gay St
Phoenixville, PA 19460-4409
Phone
(610) 933-2440
Fax
(610) 935-7757
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X VP005895T PA Primary

Addresses

Primary practice location

799 Gay St
Phoenixville, PA 19460-4409

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacqueline.walsh@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031118000160 PA Practitioner - Nurse Practitioner 1153235999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

799 Gay St
Phoenixville, PA 19460-4409
Phone (610) 933-2440

Hospital & facility affiliations

  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP005895TPAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chester County OB GYN Services Past Accepting new patients
Chester County OBGYN Services Past Accepting new patients
Regional Women'S Health Group, LLC PastSince Jul 4, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jacqueline.walsh@axia.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1154341857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 GAY ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194604409",
            "telephone_number": "610-933-2440",
            "fax_number": "610-935-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JACQUELINE",
        "middle_name": "A.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "VP005895T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.walsh@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "799 Gay St",
            "city": "Phoenixville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194604409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.