Jamie Wall, NP

Key facts

NPI

1003464934

Entity type

Individual (NPI type 1)

Primary specialty

Acute Care Nurse Practitioner 363LA2100X

License

APN.0994953-NP (CO)

Practice address

627 25 1/2 Rd
Grand Junction, CO 81505-6401

Phone

(970) 242-3535

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Intermountain Medical Group Grand Junction, LLC Orthopaedic Surgery Physician · Grand Junction, CO · NPI 1356765556
  Medicare reassignment Care Compare group NPD CO · FAMILY MEDICINE
• Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Physician · Arvada, CO · NPI 1053824979
  Medicare reassignment NPD CO
• Usacs of Colorado, Inc Emergency Medicine Physician · Littleton, CO · NPI 1760415871
  Medicare reassignment NPD CO
• Intermountain Medical Group Grand Junction, LLC Foot & Ankle Surgery Podiatrist · Grand Junction, CO · NPI 1356835045
  Care Compare group
• Intermountain Medical Group Grand Junction, LLC Durable Medical Equipment & Medical Supplies · Grand Junction, CO · NPI 1609737618
  NPD
• Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Physician · Breckenridge, CO · NPI 1003549460
  NPD
• Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Physician · Parker, CO · NPI 1376178863
  NPD
• Usacs of Colorado Inc Emergency Medicine Physician · Littleton, CO · NPI 1093341489
  NPD
• Usacs of Colorado Inc Emergency Medicine Physician · Lakewood, CO · NPI 1720614217
  NPD
• St Mary'S Hospital and Medical Center, Inc Hematology & Oncology Physician · Grand Junction, CO · NPI 1275714081
  NPD (past) FAMILY MEDICINE

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary'S Hospital and Medical Center, Inc Ambulance · Grand Junction, CO · NPI 1164060877
  Care Compare affiliation Hospital
• St Mary'S Hospital and Medical Center, Inc General Acute Care Hospital · Grand Junction, CO · NPI 1619742806
  Care Compare affiliation Hospital
• St Mary'S Hospital and Medical Center, Inc General Acute Care Hospital · Grand Junction, CO · NPI 1821647801
  Care Compare affiliation Hospital
• St. Mary'S Hospital and Medical Center, Inc. General Acute Care Hospital · Grand Junction, CO · NPI 1699716027
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intermountain Medical Group Grand Junction, LLC (297 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health St. Mary'S Regional Hospital Hospital · Grand Junction, CO · CCN 060023

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2025.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1003464934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 BROADWAY",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815071472",
            "telephone_number": "970-331-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 25 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815056401",
            "telephone_number": "970-242-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0994953-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Grand Junction, CO · Acute Care Nurse Practitioner in Colorado