Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225696842 Individual Practitioner Male Practitioner

Nicholas Tyler Walsh , PA-C

Physician Assistant • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Nicholas Walsh, PA-C is a registered healthcare professional specializing in Physician Assistant in Chicago, IL. Practice services are available at 1653 W CONGRESS PKWY under active NPI credentials.

Frequently performed procedures and clinical services include insertion of artery tube for blood sampling or infusion through skin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1653 W Congress Pkwy

Chicago, IL 606123833

Telephone 8883527874
Associated Practice Facility / Clinic
🏢 University Pathologists P C Facility NPI 1003890534

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin
13 12 $91.00 $38.08

Medical Specialties & State Licenses

CMS Verified: 2021-11-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-007-156

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Alex James

Student in an Organized Health Care Education/Training Program

NPI 1003751405
Jamie Selfridge , MSOT, OTR, L

Occupational Therapist

NPI 1023483922

MSOT, Occupational Therapist Registered, L

Alexis Giegling , APRN

Nurse Practitioner - Acute Care

NPI 1033959150

Advanced Practice Registered Nurse

James Luttrell

Physical Therapy Assistant

NPI 1043179732
Kathleen Stepanovic

Registered Nurse

NPI 1063220929
Dr. Prathima Kandukuri , DO

Physical Medicine & Rehabilitation

NPI 1083316129

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address November 22, 2021

Registered at 1520 S MAIN ST, STE 2, DAYTON, OH 454092643 (Tel: 9374615815)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2019

Physician Assistant (License #085-007-156 in IL)

NPI Profile Active May 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 29, 2019

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 8883527874)

📍
Updated Business Mailing Address May 29, 2019

Registered at 2108 W AINSLIE ST, CHICAGO, IL 606251325 (Tel: 5133048161)

👤
Provider Name / Credentials Updated May 29, 2019

Recorded as NICHOLAS WALSH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225696842
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2019
Last Update: November 22, 2021
Sole Proprietor: Yes

Mailing Address

1520 S Main St, Ste 2

Dayton, OH 454092643

Phone: 9374615815

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.