Walter Jay Nicholson, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD017640E Issued in PA

Practice address

30 Monument Rd
Suite 1100
York, PA 17403-5024

Phone

(717) 851-2441

Fax

(717) 260-3322

NPI assigned

Jun 3, 2006

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine

Education

University of Pittsburgh School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan York Hospital Hospital, York, PA, CCN 390046
• Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
• Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
• Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138
• Wellspan Surgery and Rehabilitation Hospital Hospital, York, PA, CCN 390327

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wnicholson12757@wellspan.direct-ci.com

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.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  dba WellSpan at Home

  • Internal Medicine Physician
  • York, PA
  • NPI 1780290320
  NPD

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

• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1215060157

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1669523320

  Hospital

  Care Compare affiliation
• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  Care Compare affiliation
• The Chambersburg Hospital

  dba WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
  • NPI 1952452617

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  dba WellSpan Gettysburg Hospital SPU

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
  • NPI 1184882011

  Hospital

  Care Compare affiliation
• The Gettysburg Hospital

  • General Acute Care Hospital
  • Gettysburg, PA
  • NPI 1265466957
  Care Compare affiliation
• Waynesboro Hospital

  dba WellSpan Waynesboro

  • Clinic/Center
  • Waynesboro, PA
  • NPI 1083780894

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  dba WellSpan Waynesboro Hospital

  • Clinic/Center
  • Fayetteville, PA
  • NPI 1306989561

  Hospital

  Care Compare affiliation
• Waynesboro Hospital

  dba WellSpan Waynesboro Hospital

  • General Acute Care Hospital
  • Waynesboro, PA
  • NPI 1821091059
  Care Compare affiliation
• Wellspan Surgery and Rehabilitation Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1760787576
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492
  Care Compare affiliation
• York Hospital

  dba York Hospital Community Health Center

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1235177189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-2441",
            "fax_number": "717-260-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MONUMENT RD",
            "address_2": "SUITE 1100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035024",
            "telephone_number": "717-851-2441",
            "fax_number": "717-260-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "WALTER",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD017640E",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD017640E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "060013259",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "0156924",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01660801",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000696514",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Hafeezullah Niazi, MD
• Gabrielle Nichisti, RD
• Joanne Nicholson, LMT
• Philip Geoffrey Nicholson Jr., MD
• Thomas J Nicholson, MD
• Michael S Nickels, M.D., PH.D
• Carolyn Miller Nickey, CRNP
• Sara Niedoba
• Sara Allison Niester
• Nightingale Health & Wellness Services

• Interventional Cardiology Physician in York, PA
• Providers in York, PA by specialty
• Interventional Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.

Verify at the official NPI Registry.