Katie Ellen Wall, FNP - Medicare Nurse Practitioner in Litchfield Park, AZ

Katie Ellen Wall, FNP is a medicare enrolled "Nurse Practitioner - Family" in Litchfield Park, Arizona. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bhsm Rehabilitation Llc, Palo Verde Hematology Oncology Ltd and her current practice location is 14044 W Camelback Rd Ste 118, Litchfield Park, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 547-2600.

Katie Ellen Wall is licensed to practice in Arizona (license number AP3688) 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 1649584384.

Contact Information

Katie Ellen Wall, FNP
14044 W Camelback Rd Ste 118,
Litchfield Park, AZ 85340-9481
(623) 547-2600
(623) 547-1899

Map and Direction




Provider's Profile

Full NameKatie Ellen Wall
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location14044 W Camelback Rd Ste 118, Litchfield Park, Arizona
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:
  • Katie Ellen Wall graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1649584384
  • Provider Enumeration Date: 08/05/2010
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6709079346
  • Enrollment ID: I20101015000176

Medical Identifiers

Medical identifiers for Katie Ellen Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649584384NPI-NPPES
560359MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP3688 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital
Wickenburg Community HospitalWickenburg, AZHospital
Honorhealth Deer Valley Medical CenterPhoenix, AZHospital
Arrowhead HospitalGlendale, AZHospital
Banner Boswell Medical CenterSun city, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Palo Verde Hematology Oncology Ltd640684013147

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. Katie Ellen Wall allows following entities to bill medicare on her behalf.
Entity NamePalo Verde Hematology Oncology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447272372
PECOS PAC ID: 6406840131
Enrollment ID: O20040414000397

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. Katie Ellen 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
Katie Ellen Wall, FNP
14044 W Camelback Rd Ste 118,
Litchfield Park, AZ 85340-9481

Ph: (623) 547-2600
Katie Ellen Wall, FNP
14044 W Camelback Rd Ste 118,
Litchfield Park, AZ 85340-9481

Ph: (623) 547-2600

Reviews and Comments


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Phone: 623-269-3990    Fax: 623-269-3924

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.