MICHAEL WALSH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164417960

MICHAEL WALSH (CRNA) is a healthcare provider. based in St petersburg, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP2643722 (FL). The NPI Number for MICHAEL WALSH (CRNA) is 1164417960

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WALSH (CRNA)
NPI
1164417960
Phone
(727) 867-5722
Address
165 2ND ST W
Enumeration Date
19 September 2005
Last Update Date
27 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
7416961545
Group Practice PAC ID
6800910365
Professional Enrollment ID
I20101015001277
Address ID
FL342668712Ar900XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MICHAEL WALSH (CRNA)

  • 165, West 2nd Street, Petersburg, O'Fallon, Saint Clair County, Illinois, 62269, United States

    ST PETERSBURG, FL 337151710

    Phone: (727) 867-5722

    Type: Mailing

  • DeSoto Memorial Hospital, 900, North Roberts Avenue, Arcadia, DeSoto County, Florida, 34266, United States

    DESOTO MEMORIAL HOSPITAL

    ARCADIA, FL 342668765

    Phone: (863) 494-8475

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-10-15

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
I20101015001277ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2523$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
View full utilization report →

Insurance plans in this area (ZIP 33715)

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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: 6800910365View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineFL
Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)IL
General SurgeryIL
Certified Registered Nurse Anesthetist (Crna)MO
Diagnostic RadiologyFL
-FL
-FL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL WALSH (CRNA)?
MICHAEL WALSH (CRNA) — NPI 1164417960 — is the standard way to identify this listing.
Can I rely on MICHAEL WALSH (CRNA) being an active provider?
As of the registry snapshot, MICHAEL WALSH (CRNA) is marked active.
What taxonomy line describes MICHAEL WALSH (CRNA)?
For research purposes, treat MICHAEL WALSH (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL WALSH (CRNA) on a map?
Expect St Petersburg, Florida as a primary anchor for MICHAEL WALSH (CRNA) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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