MICHELLE K WALSH – Certified Registered Nurse Anesthetist, NPI 1124911672

MICHELLE K WALSH is a healthcare provider. based in Ephrata, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 155403 (AZ). The NPI Number for MICHELLE K WALSH is 1124911672

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MICHELLE K WALSH
NPI
1124911672
Phone
(509) 398-6002
Address
5352 PAINTED HILLS RD
Enumeration Date
2 June 2025
Last Update Date
2 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4804204027
Graduation Year
2025 (1 year ago)
PAC ID
4486155314
Group Practice PAC ID
9931429198
Professional Enrollment ID
I20250901000364
Address ID
AZ850062612PH1111XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for MICHELLE K WALSH

  • 5352 PAINTED HILLS RD

    EPHRATA, WA 988239622

    Phone: (509) 398-6002

    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: 2025-09-01

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
I20250901000364ICertified Registered Nurse Anesthetist (Crna)AZTBD

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 98823)

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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: 9931429198View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NM
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)AZ
-TX
Certified Registered Nurse Anesthetist (Crna)AZ
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Can I use this page to confirm MICHELLE K WALSH's NPI?
Yes. MICHELLE K WALSH is listed with NPI 1124911672 in the public NPI dataset.
Does the file indicate MICHELLE K WALSH is practicing under active NPI?
Directory data currently reports MICHELLE K WALSH as active.
What is MICHELLE K WALSH's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MICHELLE K WALSH here. Clinical services aligned with this taxonomy classification.
Does MICHELLE K WALSH list a practice location?
Patients near Ephrata, Washington may find MICHELLE K WALSH in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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