Individual provider Active NPI

Sean Patrick Walsh, FNP-BC

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1922481712
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19563 Issued in SC
Practice address
2030 North Church PL
Spartanburg, SC 29303-2799
Phone
(864) 234-1282
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19563 SC Primary

Addresses

Primary practice location

2030 North Church PL
Spartanburg, SC 29303-2799

Mailing address

2030 North Church Place
Spartanburg, SC 29303-2799
Phone (864) 433-0214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150922002983 SC Practitioner - Nurse Practitioner 8325355415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

1083 Boiling Springs Rd
Spartanburg, SC 29303-2248
Phone (864) 583-8647

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103
  • Union Medical Center Hospital, Union, SC, CCN 420108

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raul B Cruz MD PA Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Lung and Chest Medical Associates, LLC Family CurrentSince May 27, 2017 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Spartanburg Medical Center CurrentSince Dec 3, 2023 Accepting new patients
Ikenna F. Onyebueke, MD PA Current Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

1083 Boiling Springs Rd
Spartanburg, SC 29303
Phone (803) 583-8647

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

1075 Boiling Springs Rd
Ste A
Spartanburg, SC 29303
Phone (864) 583-8647

Organizations & group practices 7

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 7

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1922481712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NORTH CHURCH PLACE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032799",
            "telephone_number": "864-433-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 NORTH CHURCH PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032799",
            "telephone_number": "864-234-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.