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Active NPI 1932755972 Individual Practitioner Male Practitioner

Jack Walsh

Registered Nurse • Fairplay, CO

Professional Overview & Biography Verified Profile Summary

Jack Walsh is a registered healthcare professional specializing in Registered Nurse in Fairplay, CO. Practice services are available at 825 CLARK STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

825 Clark Street
Unit A

Fairplay, CO 80440

Telephone 7198364154

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Fairplay, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Fairplay, CO (4726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License CO 1646960

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nursing License
1646960 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Linda Whitner

Registered Nurse

NPI 1194252890
Amygrace Edwards , RN

Registered Nurse

NPI 1861852816

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2019

Registered at 825 CLARK STREET, UNIT A, FAIRPLAY, CO 80440 (Tel: 7198364154)

📍
Updated Business Mailing Address August 15, 2019

Registered at 825 CLARK STREET, UNIT A, FAIRPLAY, CO 80440

👤
Provider Name / Credentials Updated August 15, 2019

Recorded as JACK WALSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2019

Registered Nurse (License #1646960 in CO)

🟢
Initial NPI Registration & Enumeration August 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932755972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2019
Last Update: August 15, 2019
Sole Proprietor: No

Mailing Address

825 Clark Street, Unit A

Fairplay, CO 80440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.