Donald Vincent Wall, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

313585 Issued in AZ

Practice address

2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140

Phone

(928) 255-5050

NPI assigned

Oct 11, 2024

Last updated

Aug 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Roseman Univ of HLTH Sciences, Col of Dental Med, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Family Care Home Health Agency Home health agency, Bullhead City, AZ, CCN 037477
• Kingman Regional Medical Center Home Health Home health agency, Kingman, AZ, CCN 037050
• Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group NPD
• Raghav LLC

  dba Carefirst Wellness Associates of Arizona

  • Multi-Specialty Clinic/Center
  • Surprise, AZ
  • NPI 1598125791
  Medicare reassignment NPD
• Paragon Physical Therapy and Rehab, LLC

  dba Paragon Healthcare of Arizona, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1538694104
  Care Compare group

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

• Family Care Home Health & Hospice LLC

  dba Family Care Home Health Agency

  • Home Health Agency
  • Bullhead City, AZ
  • NPI 1053834887
  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center Home Health

  • Home Health Agency
  • Kingman, AZ
  • NPI 1174701478
  Care Compare affiliation
• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1659191906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050",
            "fax_number": "888-571-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N STOCKTON HILL RD STE 108",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014140",
            "telephone_number": "928-255-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "DONALD",
        "middle_name": "VINCENT",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "313585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie D Waite, ARNP
• Walgreen Co (Walgreens #12880)
• Walgreen Co (Walgreens #03245)
• James-Douglas Walker, LMSW
• Melinda Dawn Walker, LMT
• Walmart Inc. (Walmart Pharmacy 10-2051)
• Walmart Stores, Inc. (Vision Center 30-2051)
• Christopher Ryan Walsh, FNP
• Shawn Michael Walsh, PA-C
• Kathleen B Walton, FNP-C

• Family Nurse Practitioner in Kingman, AZ
• Providers in Kingman, 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 Aug 6, 2026; 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.