Kassidy B Wall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09476 Issued in LA

Practice address

1970 N Highway 190
Covington, LA 70433-5364

Phone

(985) 400-5988

Fax

(985) 867-3644

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kassidy Bynum Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Gulfsouth Hospital Medicine LLCGroup PAC ID 6901151984, 14 clinicians

Nni Covington LLCGroup PAC ID 7517209364, 6 clinicians

Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score

90.75 of 100Reported as group

Quality

71.94

Promoting interoperability

100

Improvement activities

40

Cost

63.89

Merit-based Incentive Payment System (MIPS)

Final score

96.3 of 100Reported as group

Quality

85.77

Promoting interoperability

100

Improvement activities

40

Cost

68.58

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

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.

• Belle Chasse Physician Services LLC

  • Hospitalist Physician
  • Terrytown, LA
  • NPI 1245653237

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Gulfsouth Hospital Medicine LLC

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1871097766
  Medicare reassignment Care Compare group NPD
• Internal Medicine Clinic of Tangipahoa, LLC

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1588678494
  Medicare reassignment Care Compare group NPD
• Nni Covington LLC

  • Nephrology Physician
  • Covington, LA
  • NPI 1972060168
  Medicare reassignment Care Compare group NPD
• Gulfsouth Pulmonology, LLC

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1912404930
  Medicare reassignment NPD
• Integrated Medical Services Cov LLC

  • General Practice Physician
  • Covington, LA
  • NPI 1568743375

  Nurse Practitioner

  Medicare reassignment NPD
• Integrated Medical Services Ham, LLC

  • General Practice Physician
  • Hammond, LA
  • NPI 1619242575

  Nurse Practitioner

  Medicare reassignment NPD
• SLR Holdings LLC

  • Hospitalist Physician
  • Covington, LA
  • NPI 1679049241
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  LA, Nurse Practitioner

  Medicare reassignment NPD
• Northlake Nephrology Inc

  • Nephrology Physician
  • Covington, LA
  • NPI 1366448458
  Medicare reassignment
• SLR Holdings LLC

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1013500552

  Family

  NPD
• All American Nola, LLC

  • Chiropractor
  • New Orleans, LA
  • NPI 1518266477
  NPD (past)

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

• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481
  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1154845147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3370",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704343370",
            "telephone_number": "985-867-8585",
            "fax_number": "985-867-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335364",
            "telephone_number": "985-400-5988",
            "fax_number": "985-867-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KASSIDY",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASSIDY",
            "last_name": "BYNUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walk With Me Community Improvement Center
• Jennifer Walkenford, LAC-CCS, NCC
• Anne Marie Wallace, LPC
• Huong Tran Wallace, FNP-C
• Kirsten N Wallace, N/A
• Marquita Diane Wallace
• Joshua K Walls, MD

• Family Nurse Practitioner in Covington, LA
• Providers in Covington, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.