Kim Marie Wall, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10986 Issued in AZ

Practice address

15883 N Oracle Rd Ste 101
Tucson, AZ 85739-9202

Phone

(520) 232-2525

Fax

(520) 842-7577

NPI assigned

Feb 15, 2018

Last updated

Aug 16, 2026By the provider in NPPES

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Medical Specialty Group LLCGroup PAC ID 9436579547, 4 clinicians

Arizona Physician Group PLLCGroup PAC ID 4688045297, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Arizona Medical Specialty Group, LLC

  dba Immediate Care Arizona

  • General Practice Physician
  • Tucson, AZ
  • NPI 1972125490

  Family

  Medicare reassignment Care Compare group NPD
• Arizona Physician Group PLLC

  dba Sanova Medical Group

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1578272555
  Medicare reassignment Care Compare group
• Arizona Community Physicians PC

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1205871076

  Nurse Practitioner

  Medicare reassignment NPD
• Oro Valley Care LLC

  dba Oro Valley Urgent Care

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1497474639
  Medicare reassignment NPD
• Sanova Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1144106451
  Medicare reassignment NPD
• Arizona Community Physician PC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Tucson, AZ
  • NPI 1922141902
  NPD
• Tucson Specialty Labs LLC

  • Clinical Medical Laboratory
  • Tucson, AZ
  • NPI 1922723899
  NPD

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1952801052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W SUFFOLK DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047138",
            "telephone_number": "520-437-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15883 N ORACLE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399202",
            "telephone_number": "520-232-2525",
            "fax_number": "520-842-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy Larimore Walker, DR OF CHIROPRACTIC
• Walking in the Spirit Tucson LLC (Casa De La Fe y Amor)
• Angela D Wall, D.O.
• Conrad L Wall, MD
• Danielle Wall, MT-BC
• Wallace Physical Therapy PC (Fyzical East Tucson)
• Brooke Wallace, PHARMD
• Daniel Wallace, LMSW, LCSW
• Jan Ellen Wallace, LCSW
• Michelle Wallace, PHARMD

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, 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 16, 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.