Dawn Marie Wall, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

215785 Issued in OK

Practice address

2929 S Garnett Rd
Tulsa, OK 74129-5101

Phone

(918) 665-1520

Fax

(918) 663-8435

NPI assigned

Apr 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dawn Simpson Former name

Medicare fee-for-service enrollment

Enrolled in MO, OK2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawn.wallfnp.p8@direct.nextcare.nextgenshare.com
• Direct secure messaging: dawn.wallfnp.p10@direct.nextcare.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Medical Resource Management, LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment NPD
• Tulsa Emergency Medical Center Inc

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657

  Family

  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Hollister, MO
  • NPI 1053350454
  NPD
• Healthcare Partners Medical Group (Coats) LTD.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1902883341
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Pahrump Imaging LLC

  • Cardiovascular Disease Physician
  • Pahrump, NV
  • NPI 1730643651
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1871080267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 S COLLEGE AVE APT 314",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741375240",
            "telephone_number": "918-863-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295101",
            "telephone_number": "918-665-1520",
            "fax_number": "918-663-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16025 N Pennsylvania",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730137325",
            "country_code": "US",
            "telephone_number": "405-705-5700",
            "fax_number": "405-705-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4424 S Eastern Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891197825",
            "country_code": "US",
            "telephone_number": "702-732-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 E Main St",
            "address_purpose": "LOCATION",
            "city": "Willow Springs",
            "state": "MO",
            "postal_code": "657933588",
            "country_code": "US",
            "telephone_number": "417-469-1820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALL",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002902",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018006691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "215785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "SIMPSON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Lea Walker, RD, LD
• Timothy Micheal Walker
• Yolanda J Walker, MS
• Timber Walkingstick
• Andrea S. Wall, ACNP
• Adam Joseph Wallace, M.D.
• Alexa Nicole Wallace, MS, RD, LD
• Alyssa Ann Wallace
• Annette S. Wallace, LPC
• Arthur G Wallace Jr., DO

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.