DUSTIN WALSH (RN, SRNA) – Certified Registered Nurse Anesthetist, NPI 1225619752

DUSTIN WALSH (RN, SRNA) is a healthcare provider. based in Racine, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN, SRNA. They hold a License No. 246630 (SC). The NPI Number for DUSTIN WALSH (RN, SRNA) is 1225619752

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DUSTIN WALSH (RN, SRNA)
NPI
1225619752
Phone
(262) 687-4011
Address
3801 Spring St
Enumeration Date
16 April 2021
Last Update Date
29 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6086437171
Graduation Year
2021 (5 years ago)
PAC ID
6204239890
Group Practice PAC ID
8224948054
Professional Enrollment ID
I20210720001754
Address ID
WI535782203PR260XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for DUSTIN WALSH (RN, SRNA)

  • 3801 Spring St

    Racine, WI 53405

    Phone: (262) 687-4011

    Type: Location

  • 1184 ARUBA CIR

    CHARLESTON, SC 294128643

    Phone:

    Type: Mailing

  • 171 ASHLEY AVE

    CHARLESTON, SC 294250100

    Phone: (843) 792-1414

    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: 2021-07-20

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
I20210720001754ICertified Registered Nurse Anesthetist (Crna)WITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1312$0
View full utilization report →

Insurance plans in this area (ZIP 53405)

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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: 8224948054View full group profile
NameSpecialtyState
Physician AssistantWI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI
-WI
Physician AssistantWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Does DUSTIN WALSH (RN, SRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DUSTIN WALSH (RN, SRNA) uses 1225619752.
Is DUSTIN WALSH (RN, SRNA) listed as active for patients and plans?
The listing shows DUSTIN WALSH (RN, SRNA) as active in the NPI system.
What is DUSTIN WALSH (RN, SRNA)'s specialty?
The listing groups DUSTIN WALSH (RN, SRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for DUSTIN WALSH (RN, SRNA)?
DUSTIN WALSH (RN, SRNA)'s geographic hint is Racine, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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