Individual provider Active NPI

Hilsa Walters-Pelham, P.A.

  • Physician Assistant
  • Nyack, NY
National Provider Identifier
1790724953
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
006875 Issued in NY
Practice address
160 N Mainland Ave
Nyack, NY 10960
Phone
(845) 348-2345
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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 006875 NY Primary

Addresses

Primary practice location

160 N Mainland Ave
Nyack, NY 10960

Mailing address

160 N Mainland Ave
Nyack, NY 10960
Phone (845) 348-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060606000222 NY Practitioner - Physician Assistant 4880605963 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyack Emergency Medical Association PLLCGroup PAC ID 2062411036, 59 clinicians
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians
Medcare, LLCGroup PAC ID 9537265541, 15 clinicians
Friendly Urgent Care of Ny PLLCGroup PAC ID 0749510469, 7 clinicians

Practice addresses (Care Compare)

160 N Midland Ave
Nyack, NY 10960-1912
Phone (954) 939-5000

256 E Route 59
Nanuet, NY 10954-2905
Phone (888) 713-2067

468 Lafayette Ave
Brooklyn, NY 11205-4809
Phone (718) 399-6234

77 Route 59
Suite 103
Monsey, NY 10952-3739
Phone (845) 356-2273

Hospital & facility affiliations

  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006875NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Nov 3, 2025 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Nov 3, 2025 Accepting new patients
Medcare, LLC CurrentSince Sep 28, 2025 Accepting new patients
Trustees of Columbia University in the City of New York Physician Assistant CurrentSince Aug 1, 2018 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Trustees of Columbia University in the City of New York Physician Assistant CurrentSince Aug 1, 2018 Accepting new patients
Madison Avenue Emergency Medicine PC Past Accepting new patients
Lafayette Medical Office, PC PastSince Sep 28, 2025 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

468 Lafayette Ave
Brooklyn, NY 11205
Phone (718) 399-6234

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

256 E Route 59
Nanuet, NY 10954
Phone (845) 624-2273

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
Ph 1137
New York, NY 10032
Phone (212) 305-2575

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

Interoperability endpoints

  • Direct secure messaging: hilsa.walters.pelham.1@2983.direct.athenahealth.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1790724953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MAINLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-348-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MAINLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-348-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS-PELHAM",
        "first_name": "HILSA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.