NPIMap

Individual provider Active NPI

Marsha Alfrey Wall, PA-C

  • Physician Assistant
  • Morehead, KY
National Provider Identifier
1053660688
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1775 Issued in KY
Practice address
245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone
(606) 780-5500
Fax
(606) 783-7281
NPI assigned
Aug 29, 2012
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1775 KY Primary

Addresses

Primary practice location

245 Flemingsburg Rd
Morehead, KY 40351-1015

Mailing address

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

Other identifiers 1

IdentifierTypeStateIssuer
7100225070MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000735 KY Practitioner - Physician Assistant 5597915868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kentucky College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Claire Medical Center IncGroup PAC ID 4486559085, 181 clinicians

Practice addresses (Care Compare)

222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500

245 Flemingsburg Rd
Morehead, KY 40351-1015
Phone (606) 780-5500

555 W Sun St
Morehead, KY 40351-1563
Phone (606) 783-6805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.64 of 100Reported as group
Quality
56.63
Improvement activities
40
Cost
74.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1775KYMDPhysician Assistant
TC134KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Current Accepting new patients
St Claire Medical Center, Inc Current Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
St Claire Medical Center, Inc CurrentSince Aug 26, 2012 Accepting new patients
St. Claire Medical Center, Inc Physician Assistant Current Accepting new patients
St Claire Medical Center, Inc Physician Assistant CurrentSince Aug 26, 2012 Accepting new patients
St. Claire Medical Center,Inc Current Accepting new patients
Black & Carpenter PSC Current Accepting new patients
Sprocket Medical Management LLC Past Accepting new patients

Locations

732 Highway 36
Frenchburg, KY 40322
Phone (606) 768-2191

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

245 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 780-5500

316 W 2nd St
Morehead, KY 40351
Phone (606) 783-6400

425 Clinic Dr
Morehead, KY 40351
Phone (606) 784-1049

555 W Sun St
Morehead, KY 40351
Phone (606) 207-2931

632 Slate Ave
Owingsville, KY 40360
Phone (606) 674-6386

390 S Ky 7
Sandy Hook, KY 41171
Phone (606) 738-5155

Organizations & group practices 12

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

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1053660688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511015",
            "telephone_number": "606-780-5500",
            "fax_number": "606-780-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 FLEMINGSBURG RD",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511015",
            "telephone_number": "606-780-5500",
            "fax_number": "606-783-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "MARSHA",
        "middle_name": "ALFREY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100225070",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.