Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared C Walsh, PA-C

Individual provider Physician Assistant · NPI 1790339166

Jared C Walsh, PA-C is a Physician Assistant in Hartford, Connecticut. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Connecticut.

Years since qualifying
7
Licensed in
CO, CT
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

80 Seymour Street Cvo Provider Enrollment
Hartford, CT 06102-8000
Phone: (860) 545-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2500 Rocky Mountain Ave Ste 360, Loveland, CO 80538-9004 — (970) 221-1000
  • 6 Great Meadows Ln, Lincoln, RI 02865-3823 — (401) 474-2963

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4660 (CT)
Physician Assistant Taxonomy 363A00000X · Licence PA.0009510 (CO)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1790339166
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address80 Seymour St, Hartford, CT 06102-8000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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