Jacquelyn Marie Walsh, APRN - Medicare Nurse Practitioner in St Petersburg, FL

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Jacquelyn Marie Walsh, APRN is a medicare enrolled "Nurse Practitioner - Family" in St Petersburg, Florida. Her current practice location is 625 6th Ave S Ste 310, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 767-2243.

Jacquelyn Marie Walsh is licensed to practice in Florida (license number ARNP9492462) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891064655.

Contact Information

Jacquelyn Marie Walsh, APRN
625 6th Ave S Ste 310,
St Petersburg, FL 33701-4664
(727) 767-2243
(727) 767-4299

Map and Direction




Provider's Profile

Full NameJacquelyn Marie Walsh
GenderFemale
SpecialityNurse Practitioner - Family
Location625 6th Ave S Ste 310, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891064655
  • Provider Enumeration Date: 12/23/2011
  • Last Update Date: 05/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870760119
  • Enrollment ID: I20181121001759

Medical Identifiers

Medical identifiers for Jacquelyn Marie Walsh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891064655NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN214988 (Georgia)Secondary
363LF0000XNurse Practitioner - Family ARNP9492462 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacquelyn Marie Walsh allows following entities to bill medicare on her behalf.
Entity NameRadiology Associates Of Tampa Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477720837
PECOS PAC ID: 2264410471
Enrollment ID: O20040713000412
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacquelyn Marie Walsh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacquelyn Marie Walsh, APRN
3003 W Trilby Ave,
Tampa, FL 33611-4430

Ph: (813) 777-9522		Jacquelyn Marie Walsh, APRN
625 6th Ave S Ste 310,
St Petersburg, FL 33701-4664

Ph: (727) 767-2243

Reviews and Comments


Nurse Practitioner Nurses in St Petersburg, FL

Susan Buffington,
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Medicare: Medicare Enrolled
Practice Location: 501 6th Ave S, Dept Of Radiology, St Petersburg, FL 33701
Phone: 727-767-3318    Fax: 727-767-8002
Brittany Easter Bower, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 501 6th Ave S, St Petersburg, FL 33701
Phone: 727-767-4313    Fax: 727-767-4391
Megan Deedrich, FNP-BC
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Practice Location: 600 10th St N, St Petersburg, FL 33705
Phone: 727-315-6775    
Ms. Elizabeth James, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 3250 5th Ave N, St Petersburg, FL 33713
Phone: 727-384-5088    
Joanne Elizabeth Sastamoinen, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 6500 38th Ave N, St Petersburg, FL 33710
Phone: 727-341-4870    
Kathryn Steckel, C.N.M
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Dr Martin Luther King Jr St N, St Petersburg, FL 33704
Phone: 727-456-0750    Fax: 727-456-0751
Mrs. Shanna Ann Sherman, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 601 5th St S, Suite 605, St Petersburg, FL 33701
Phone: 727-822-4300    Fax: 727-456-1399

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.