Kassidy B Wall, FNP - Medicare Nurse Practitioner in Covington, LA

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Kassidy B Wall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Covington, Louisiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrated Medical Services Ham Llc, Gulfsouth Hospital Medicine Llc, Nni Covington Llc, Slr Holdings Llc and her current practice location is 1970 N Highway 190, Covington, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 400-5988.

Kassidy B Wall is licensed to practice in Louisiana (license number AP09476) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154845147.

Contact Information

Kassidy B Wall, FNP
1970 N Highway 190,
Covington, LA 70433-5364
(985) 400-5988
(985) 867-3644

Map and Direction




Provider's Profile

Full NameKassidy B Wall
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location1970 N Highway 190, Covington, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kassidy B Wall graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1154845147
  • Provider Enumeration Date: 08/01/2017
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022375922
  • Enrollment ID: I20171201000212

Medical Identifiers

Medical identifiers for Kassidy B Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154845147NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP09476 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elara CaringHammond, LAHome health agency
Tulane Medical CenterNew orleans, LAHospital
North Oaks Medical Center, L L CHammond, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Medical Services Ham Llc62040722757
Gulfsouth Hospital Medicine Llc690115198420
Nni Covington Llc75172093648
Slr Holdings Llc84263961446

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. Kassidy B Wall allows following entities to bill medicare on her behalf.
Entity NameNorthlake Nephrology, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366448458
PECOS PAC ID: 9931000213
Enrollment ID: O20040119000752
Entity NameIntegrated Medical Services Cov Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568743375
PECOS PAC ID: 3870769805
Enrollment ID: O20111222000126
Entity NameIntegrated Medical Services Ham Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619242575
PECOS PAC ID: 6204072275
Enrollment ID: O20130417000391
Entity NameGulfsouth Hospital Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871097766
PECOS PAC ID: 6901151984
Enrollment ID: O20180614002079
Entity NameGulfsouth Pulmonology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912404930
PECOS PAC ID: 8325398696
Enrollment ID: O20180906003029
Entity NameSlr Holdings Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679049241
PECOS PAC ID: 8426396144
Enrollment ID: O20190205001207
Entity NameNni Covington Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972060168
PECOS PAC ID: 7517209364
Enrollment ID: O20190429000462

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. Kassidy B 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 AddressPractice Location Address
Kassidy B Wall, FNP
Po Box 3370,
Covington, LA 70434-3370

Ph: (985) 400-5988		Kassidy B Wall, FNP
1970 N Highway 190,
Covington, LA 70433-5364

Ph: (985) 400-5988

Reviews and Comments


Nurse Practitioner Nurses in Covington, LA

Sunny R Mcdaniel, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 120 Innwood Dr, Covington, LA 70433
Phone: 985-892-3225    Fax: 985-892-7677
Mr. Luis Benigno Martinez Iii,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1850 N Highway 190, Covington, LA 70433
Phone: 985-809-1515    
Jeffrey J Stein, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1970 N Hwy 190, Covington, LA 70433
Phone: 985-867-8585    Fax: 985-867-3644
Dionne M Stein, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1970 N. Hwy 190, Covington, LA 70433
Phone: 985-867-8585    Fax: 985-867-3644
Stacy Sharp, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 Starbrush Cir, Covington, LA 70433
Phone: 985-871-6020    
Colleen Leo Frady, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433
Phone: 985-867-8585    
Mrs. Josephine Elizabeth Sims, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 205 Highland Park Plz, Suite 205, Covington, LA 70433
Phone: 985-871-8681    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.