Christa Jo Wall, FNP-BC in Portland, IN - Medicare Nurse Practitioner

Christa Jo Wall, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Portland, Indiana. Her current practice location is 4501 S Boundary Pike, Portland, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 748-5226.

Christa Jo Wall is licensed to practice in Indiana (license number 71003894A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588949762.

Contact Information

	Christa Jo Wall, FNP-BC
	4501 S Boundary Pike, Portland, IN 47371-8940
	(765) 748-5226
	Not Available

Map and Direction

Provider's Profile

Full Name	Christa Jo Wall
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4501 S Boundary Pike, Portland, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588949762
Provider Enumeration Date: 10/19/2011
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9537333844
Enrollment ID: I20111123000452

Medical Identifiers

Medical identifiers for Christa Jo Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588949762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71003894A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christa Jo Wall allows following entities to bill medicare on her behalf.

Entity Name	Ameriwound Physicians In Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801312863 PECOS PAC ID: 9133481005 Enrollment ID: O20180313002153

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christa Jo Wall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christa Jo Wall, FNP-BC 4501 S Boundary Pike, Portland, IN 47371-8940 Ph: (765) 748-5226	Christa Jo Wall, FNP-BC 4501 S Boundary Pike, Portland, IN 47371-8940 Ph: (765) 748-5226

Reviews and Comments

Nurse Practitioner Nurses in Portland, IN

Mrs. Heather Ann Masters, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-7131 Fax: 260-726-1975
Kerry M Torres, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 W Votaw St, Portland, IN 47371 Phone: 260-726-8822
Danielle Thompson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 N Meridian St, Portland, IN 47371 Phone: 260-703-3312 Fax: 260-703-3313
Alice Odelia Bruggeman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 428 West Votaw Street, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857
Anne Hardesty, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Votaw St, Portland, IN 47371 Phone: 260-726-2313
Kayla Marie Melton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 406 W Votaw St, Portland, IN 47371 Phone: 765-288-1928
Carrie Elizabeth Baldwin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 428 W Votaw St, Suite A, Portland, IN 47371 Phone: 260-726-8822 Fax: 260-726-7857

Christa Jo Wall, FNP-BC - Medicare Nurse Practitioner in Portland, IN