PATRICK WALSH – Nurse Practitioner, NPI 1003699307

PATRICK WALSH is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 041.426288 (IL). The NPI Number for PATRICK WALSH is 1003699307

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK WALSH
NPI
1003699307
Phone
Not provided
Address
5841 S MARYLAND AVE
Enumeration Date
18 August 2023
Last Update Date
27 October 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7084862700
Graduation Year
2022 (4 years ago)
PAC ID
7517304058
Group Practice PAC ID
3577578798
Professional Enrollment ID
I20240320001984
Address ID
IL603024210OA101XXSTXX339
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for PATRICK WALSH

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone:

    Mailing address matches the actual address.

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: 2024-03-20

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
I20240320001984INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60637)

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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: 3577578798View full group profile
NameSpecialtyState
Nurse PractitionerIL
Internal MedicineMN
Internal MedicineIL
Hospitalist, Internal MedicineIL
Internal MedicinePA
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerIL
-IL
-IL

Reviews

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Frequently asked questions

Can I use this page to confirm PATRICK WALSH's NPI?
Yes. PATRICK WALSH is listed with NPI 1003699307 in the public NPI dataset.
Is PATRICK WALSH listed as active for patients and plans?
The listing shows PATRICK WALSH as active in the NPI system.
What is PATRICK WALSH best known for clinically?
Directory data describes PATRICK WALSH with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect PATRICK WALSH on a map?
Expect Chicago, Illinois as a primary anchor for PATRICK WALSH unless the record lists multiple sites.
Is the information about PATRICK WALSH up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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