MELISSA WALSH (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053198770

MELISSA WALSH (CRNP) is a healthcare provider. based in Boyertown, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP027952 (PA). The NPI Number for MELISSA WALSH (CRNP) is 1053198770

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA WALSH (CRNP)
NPI
1053198770
Phone
(675) 638-1802
Address
137 Montgomery Ave Ste 203
Enumeration Date
14 September 2023
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4848352050
Graduation Year
2022 (4 years ago)
PAC ID
0749728566
Group Practice PAC ID
4688019151
Professional Enrollment ID
I20240812002396
Address ID
PA193805412WE400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MELISSA WALSH (CRNP)

  • 137 Montgomery Ave Ste 203

    Boyertown, PA 195121300

    Phone: (675) 638-1802

    Fax: (484) 848-5195

    Type: Location

  • 1288 VALLEY FORGE RD STE 54

    PHOENIXVILLE, PA 194602687

    Phone: (267) 563-8180

    Fax: (484) 848-5195

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axsome Therapeutics, Inc.$105
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: 2024-08-12

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
I20240812002396INurse PractitionerPATBD

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 19512)

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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: 4688019151View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerDE
Nurse PractitionerPA
P S Y C H I A T R YNJ
Internal Medicine, PsychiatryPA
P S Y C H I A T R YMO
P S Y C H I A T R YPA
P S Y C H I A T R YPA
P S Y C H I A T R YPA
Psychiatry, Internal MedicinePA

Reviews

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Frequently asked questions

How is MELISSA WALSH (CRNP) identified in CMS data?
CMS-hosted NPPES data lists MELISSA WALSH (CRNP) with NPI 1053198770.
Is MELISSA WALSH (CRNP) listed as active for patients and plans?
The listing shows MELISSA WALSH (CRNP) as active in the NPI system.
What taxonomy line describes MELISSA WALSH (CRNP)?
For research purposes, treat MELISSA WALSH (CRNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MELISSA WALSH (CRNP) on a map?
Expect Boyertown, Pennsylvania as a primary anchor for MELISSA WALSH (CRNP) unless the record lists multiple sites.
Is the information about MELISSA WALSH (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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