Active NPI
William J Walsh, PA
- Physician Assistant
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0003120
- Practice address
- 6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926 - Phone
- (239) 263-0849
- Fax
- (239) 263-2376
- NPI assigned
- Jul 12, 2006
- Last updated
- Jun 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0003120 | FL | Primary |
Addresses
Primary practice location
6376 Pine Ridge Rd Unit 180
Naples, FL 34119-3926
Mailing address
6376 Pine Ridge Rd # Unite180
Naples, FL 34119-3908
Phone (239) 263-0849
Other practice location 1
730 Goodlette Rd Ste 100
Naples, FL 34102-5617
Phone (239) 682-6603
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000414700 | Medicaid | FL | |
| Y04N9 | Other | BCBS | |
| 40916L | Other | FL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6376 Pine Ridge Rd
Naples, FL 34119-3926
Phone (239) 263-0849
730 Goodlette Rd N
Suite 100
Naples, FL 34102-5617
Phone (239) 682-6603
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.38 of 100
- Quality
- 72.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0003120 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Centers PA | Past | Accepting new patients |
Interoperability endpoints
- william.walsh.1@25641.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Clinical Cardiac Electrophysiology Physician
- Naples, FL
- NPI 1730376708
-
- Family Medicine Physician
- Naples, FL
- NPI 1174571608
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Physicians Regiona Medical Center-Collier
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
dba Physicians Regional Medical Center-Pine Ridge
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1669407029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6376 PINE RIDGE RD # UNITE180",
"city": "NAPLES",
"state": "FL",
"postal_code": "341193908",
"telephone_number": "239-263-0849",
"fax_number": "239-263-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6376 PINE RIDGE RD UNIT 180",
"city": "NAPLES",
"state": "FL",
"postal_code": "341193926",
"telephone_number": "239-263-0849",
"fax_number": "239-263-2376"
}
],
"practiceLocations": [
{
"address_1": "730 Goodlette Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025617",
"country_code": "US",
"telephone_number": "239-682-6603",
"fax_number": "239-263-2014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA0003120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000414700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y04N9",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "40916L",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.