Active NPI
Patricia Danielle Walsh, PA-C
- Physician Assistant
- Newport, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2437
- Practice address
- 1400 Grand Avenue
Newport, KY 41071-2570 - Phone
- (859) 212-0497
- NPI assigned
- Sep 4, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.007248 | IL | |
| Physician Assistant | 363A00000X | PA2437 | KY | Primary |
Addresses
Primary practice location
1400 Grand Avenue
Newport, KY 41071-2570
Mailing address
PO Box 776879
Chicago, IL 60677-6213
Phone (502) 588-9490
Other practice location 1
1600 N Randall Rd Ste 201
Elgin, IL 60123-7805
Phone (847) 382-5080
Other practice location 2
360 Station Dr Ste 110
Crystal Lake, IL 60014-7978
Phone (847) 382-5080
Other practice location 3
22285 N Pepper Rd Ste 201
Lake Barrington, IL 60010-2540
Phone (847) 382-5080
Other practice location 4
4123 Dutchmans Ln Ste 102
Louisville, KY 40207-4718
Phone (502) 559-1670
Other practice location 5
7370 Turfway Road
Florence, KY 41042-4824
Phone (859) 212-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.007248 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Physician Assistant | Current | Accepting new patients |
| Summit Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
| United Shockwave Services, LTD. | Past | Accepting new patients |
Locations
7370 Turfway Rd
Florence, KY 41042
Phone (859) 212-5125
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
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.
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Lithotripsy Clinic/Center
- Park Ridge, IL
- NPI 1811944515
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1215586193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776213",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GRAND AVENUE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712570",
"telephone_number": "859-212-0497"
}
],
"practiceLocations": [
{
"address_1": "1600 N Randall Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601237805",
"country_code": "US",
"telephone_number": "847-382-5080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Station Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600147978",
"country_code": "US",
"telephone_number": "847-382-5080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22285 N Pepper Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Lake Barrington",
"state": "IL",
"postal_code": "600102540",
"country_code": "US",
"telephone_number": "847-382-5080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4123 Dutchmans Ln Ste 102",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402074718",
"country_code": "US",
"telephone_number": "502-559-1670",
"fax_number": "502-559-1679",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7370 Turfway Road",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "KY",
"postal_code": "410424824",
"country_code": "US",
"telephone_number": "859-212-0497",
"fax_number": "859-282-1141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "PATRICIA",
"middle_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-04",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.007248",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.