JACLYN MARIE WALSH (PA-C) – Physician Assistant, NPI 1801403878

JACLYN MARIE WALSH (PA-C) is a healthcare provider. based in Bear, Delaware. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. C5-0011436 (DE). The NPI Number for JACLYN MARIE WALSH (PA-C) is 1801403878

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JACLYN MARIE WALSH (PA-C)
NPI
1801403878
Phone
(302) 918-7509
Address
1011 E SONGSMITH DR
Enumeration Date
24 September 2020
Last Update Date
13 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
2961815675
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20210119000506
Address ID
DE197182200NE4755XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

756 PHYSICIAN ASSISTANT in DE

Provider Addresses for JACLYN MARIE WALSH (PA-C)

  • 1011 E SONGSMITH DR

    BEAR, DE 197011194

    Phone: (302) 918-7509

    Type: Location

  • 108 GRAND CANYON CT

    BEAR, DE 197011784

    Phone: (862) 216-8434

    Type: Mailing

  • 1418 LAUREN PL

    NEWARK, DE 197023116

    Phone: (862) 216-8434

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $93.

Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Solventum Corporation ($47).

Total Amount

$93

General + Research + Ownership

Payments

4

Total payment records

General Amount

$93

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210119000506IPhysician AssistantDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes169165$0
99203New patient office or other outpatient visit, 30-44 minutes8282$0
81003Automated urinalysis test5656$0
99214Established patient office or other outpatient visit, 30-39 minutes2929$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2222$0
View full utilization report →

Insurance plans in this area (ZIP 19701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739097569View full group profile

Reviews

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Frequently asked questions

How do payers reference JACLYN MARIE WALSH (PA-C)?
For JACLYN MARIE WALSH (PA-C), use NPI 1801403878 as the unique 10-digit identifier.
Is there an active status for JACLYN MARIE WALSH (PA-C)?
For scheduling context, JACLYN MARIE WALSH (PA-C) is shown as active in the registry.
What kind of doctor is JACLYN MARIE WALSH (PA-C)?
JACLYN MARIE WALSH (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JACLYN MARIE WALSH (PA-C) associated with Bear?
Public fields place JACLYN MARIE WALSH (PA-C) around Bear, Delaware. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JACLYN MARIE WALSH (PA-C) is noted as September 24, 2020 where the registry provides it.

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