Active NPI
Erin Elizabeth Walz
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA031518
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007-2113 - Phone
- (202) 444-2000
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA031518 | DC | Primary |
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0110006212 | VA | |
| Physician Assistant | 363A00000X | C0006973 | MD |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007-2113
Mailing address
1410 N Scott St Apt 834
Arlington, VA 22209-2918
Phone (732) 266-8322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110006212 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-8000
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-8000
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270
Hospital & facility affiliations
- Wakemed, Raleigh Campus
- Wakemed, Cary Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0006973 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- ewalz419925@directhisp.wakemed.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Sleep Medicine (Internal Medicine) Physician
- Cary, NC
- NPI 1750133781
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cary, NC
- NPI 1114993086
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591574400000",
"number": "1922581438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 N SCOTT ST APT 834",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222092918",
"telephone_number": "732-266-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALZ",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2020-06-08",
"certification_date": "2020-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031518",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006212",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0006973",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS",
"identifier": "0110006212",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.