Andrea Walsh, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53922 Issued in ID

Practice address

2020 S Johns Ave Ste B
Emmett, ID 83617-1386

Phone

(208) 369-4340

Fax

(208) 369-4341

NPI assigned

Jun 8, 2016

Last updated

Apr 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jonathan Barrus DO PCGroup PAC ID 8729489620, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Regional Medical Center Hospital, Boise, ID, CCN 130006
• Valor Health Hospital, Emmett, ID, CCN 131318

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.walsh.1@23758.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23758/brand/1/csg/1/fhir/r4

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.

• Jonathan Barrus DO PC

  dba Gem Family Medicine

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1699375659
  Medicare reassignment Care Compare group NPD
• Brandon a West, DO, PLLC

  dba West Family Medicine

  • Adolescent Medicine (Family Medicine) Physician
  • Pocatello, ID
  • NPI 1780808022
  Medicare reassignment NPD

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

• St Lukes Regional Medical Center

  dba Air St Luke's

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  dba St Lukes Meridian Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation
• Walter Knox Memorial Hospital

  dba Valor Health

  • Critical Access Hospital
  • Emmett, ID
  • NPI 1063419018
  Care Compare affiliation
• Walter Knox Memorial Hospital

  dba Valor Health

  • Specialist
  • Emmett, ID
  • NPI 1326206947

  Hospital

  Care Compare affiliation
• Walter Knox Memorial Hospital

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1861284721

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1376992503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S JOHNS AVE STE B",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836171386",
            "telephone_number": "208-369-4340",
            "fax_number": "208-369-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S JOHNS AVE STE B",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836171386",
            "telephone_number": "208-369-4340",
            "fax_number": "208-369-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Family Health Care, Inc
• Elena Villanueva, LMSW
• Walgreen Co (Walgreens # 13105)
• Andrea L Wallace, D.M.D.
• Darren K Wallace, D.M.D.
• Walter Knox Memorial Hospital (Valor Health)
• Walter Knox Memorial Hospital
• Walter Knox Memorial Hospital
• Walter Knox Memorial Hospital (Valor Health)
• Walter Knox Memorial Hospital (Valor Health)

• Family Nurse Practitioner in Emmett, ID
• Providers in Emmett, ID by specialty
• Family Nurse Practitioner in Idaho

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

Verify at the official NPI Registry.