DR. ANDREA WALSH (DNP, FNP-C) – Family Nurse Practitioner, NPI 1376992503
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for DR. ANDREA WALSH (DNP, FNP-C)
2020 S JOHNS AVE STE B
EMMETT, ID 836171386
Phone: (208) 369-4340
Fax: (208) 369-4341
Type: Location
1133, Call Creek Drive, Pocatello, Bannock County, Idaho, 83201, United States
STE A
POCATELLO, ID 83202
Phone: (208) 232-1000
Fax: (208) 232-1006
Type: Mailing
1133 CALL PL STE A
POCATELLO, ID 832013076
Phone: (208) 232-1000
Fax: (208) 232-1006
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $808.
Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: ABBVIE INC. ($330).
Total Amount
$808
General + Research + Ownership
Payments
51
Total payment records
General Amount
$808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $330 |
| Lilly USA, LLC | $122 |
| E.R. Squibb & Sons, L.L.C. | $60 |
| Novartis Pharmaceuticals Corporation | $40 |
| AstraZeneca Pharmaceuticals LP | $33 |
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: 2016-09-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160907001312 | I | Nurse Practitioner | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 94 | 49 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 53 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $0 |
Insurance plans in this area (ZIP 83617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine, Osteopathic Manipulative Medicine, Hospitalist, Family Practice | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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