Active NPI
Rebecca Ann Walsh, RN, CRNP
- Family Nurse Practitioner
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP009738
- Practice address
- 1776 E Lancaster Ave
Paoli, PA 19301-1550 - Phone
- (610) 647-4366
- NPI assigned
- Feb 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00154700 | NJ | |
| Family Nurse Practitioner | 363LF0000X | SP009738 | PA | Primary |
Addresses
Primary practice location
1776 E Lancaster Ave
Paoli, PA 19301-1550
Mailing address
1044 Balley Dr
Phoenixville, PA 19460-5912
Phone (610) 850-5709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
255 W Lancaster Ave
Suite 331
Paoli, PA 19301-1766
Phone (484) 476-1000
Hospital & facility affiliations
- Riddle Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00154700 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pottstown Clinic Company LLC | Current | Accepting new patients | |
| Main Line Healthcare | Current | Accepting new patients |
Locations
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
1098 W Baltimore Pike
Ste 3401
Media, PA 19063
Phone (610) 627-4427
255 W Lancaster Ave
Ste 331
Paoli, PA 19301
Phone (484) 527-2232
730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835
1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485
100 E Lancaster Ave
#275
Wynnewood, PA 19096
Phone (215) 622-3743
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
-
- Family Medicine Physician
- Pottstown, PA
- NPI 1649341934
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Media, PA
- NPI 1407856099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1972771509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 BALLEY DR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194605912",
"telephone_number": "610-850-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 E LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011550",
"telephone_number": "610-647-4366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN, CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-17",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00154700",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP009738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.