Individual provider Active NPI

Brittany Nicole Wall, FNP

  • Family Nurse Practitioner
  • Lexington, NC
National Provider Identifier
1639835432
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015339 Issued in NC
Practice address
104 W Medical Park Dr
Lexington, NC 27292-6773
Phone
(336) 224-0931
NPI assigned
Nov 16, 2021
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015339 NC Primary

Addresses

Primary practice location

104 W Medical Park Dr
Lexington, NC 27292-6773

Mailing address

244 Montclair Dr
Advance, NC 27006-7879
Phone (336) 909-4330

Other practice location 1

1041 Kirkpatrick Rd Ste 100
Burlington, NC 27215-8066
Phone (336) 538-0565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20220330001670 NC Practitioner - Nurse Practitioner 2466848544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1041 Kirkpatrick Rd
Suite 100
Burlington, NC 27215-8066
Phone (336) 538-0565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Rock Internal Medicine CurrentSince Nov 22, 2021 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 1, 2025 Accepting new patients
Moses Cone Physician Services Inc Current Accepting new patients
High Rock Internal Medicine, PA CurrentSince Nov 22, 2021 Accepting new patients
Moses Cone Physician Services, Inc. Past Accepting new patients

Locations

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

104 W Medical Park Dr
Lexington, NC 27292
Phone (336) 224-0931

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

1215 W Clemmonsville Rd
Ste C
Winston Salem, NC 27127
Phone 3363008855 ext. 313

Organizations & group practices 6

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 2

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1639835432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MONTCLAIR DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067879",
            "telephone_number": "336-909-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MEDICAL PARK DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926773",
            "telephone_number": "336-224-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1041 Kirkpatrick Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158066",
            "country_code": "US",
            "telephone_number": "336-538-0565",
            "fax_number": "336-538-0564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.