Katie Ellen Wall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3688 Issued in AZ

Practice address

14044 W Camelback Rd Ste 118
Litchfield Park, AZ 85340-9481

Phone

(623) 547-2600

Fax

(623) 547-1899

NPI assigned

Aug 5, 2010

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

Merit-based Incentive Payment System (MIPS)

Final score

22.02 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

73.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gehkwall@yourcarecommunity.org

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.

• Arizona Digestive Health, PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1992981583
  Medicare reassignment Care Compare group NPD
• Academic Urology and Urogynecology of Arizona PC

  • Urology Physician
  • Litchfield Park, AZ
  • NPI 1164698783
  NPD (past)
• Arizona Center for Hematology and Oncology PLC

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1841243722
  NPD (past)

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

• Community Hospital Association, Inc.

  dba Wickenburg Community Hospital

  • Critical Access Hospital
  • Wickenburg, AZ
  • NPI 1841282852
  Care Compare affiliation

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649584384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 W CAMELBACK RD STE 118",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409481",
            "telephone_number": "623-547-2600",
            "fax_number": "623-547-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3769 Crossings Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863057121",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1395 W Wickenburg Way",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853904231",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13802 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754422",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13050 N 103rd Ave",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513011",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 W Bethany Home Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152445",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19636 N 27th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850274015",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20940 N Tatum Blvd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507244",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 225",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164877",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5310 W Thunderbird Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064712",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3618 W Anthem Way",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850860419",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 N Scottsdale Healthcare Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554140",
            "country_code": "US",
            "telephone_number": "623-547-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6525 W Sack Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087106",
            "country_code": "US",
            "telephone_number": "602-337-8500",
            "fax_number": "602-337-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "KATIE",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "560359",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.