Individual provider Active NPI

Elizabeth A Walsh, PA-C

  • Physician Assistant
  • Manchester, CT
National Provider Identifier
1215998216
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001262 Issued in CT
Practice address
81 Haynes St
Manchester, CT 06040-4112
Phone
(860) 646-1222
NPI assigned
Mar 29, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001262 CT Primary

Addresses

Primary practice location

81 Haynes St
Manchester, CT 06040-4112

Mailing address

122 Vernon Branch Rd
Coventry, CT 06238-1027
Phone (860) 742-8609

Other names 1

  • Miss Elizabeth A Cregg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110727000234 NJ Practitioner - Physician Assistant 7719972090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Margaret Ravits MDGroup PAC ID 9133225618, 5 clinicians

Practice addresses (Care Compare)

721 Summit Ave
Hackensack, NJ 07601-1608
Phone (201) 487-3691

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waterbury Hospital Past Accepting new patients
CT Emergency Medicine Specialists, LLC Past Accepting new patients
The Dermatology Group PastSince Feb 6, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.walsh@4099.securemail.prognocis.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215998216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 VERNON BRANCH RD",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062381027",
            "telephone_number": "860-742-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404112",
            "telephone_number": "860-646-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CREGG",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.