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AMBER WALL RDN
NPI 1053100255
Dietitian, Registered in Nottingham, MD

Active since May 05, 2025Accepts Medicare Assignment
5020 CAMPBELL BLVD STE L&M, NOTTINGHAM, MD 21236(410) 870-3808 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Amber Wall Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER WALL RDN (NPI 1053100255) is an individual dietitian, registered in Nottingham, Maryland, licensed in Maryland (86358177) and active in the NPI registry since May 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1053100255
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMBER WALLCredential: RDN
Location Address5020 CAMPBELL BLVD STE L&MNottingham, MD 21236-4968
Mailing Address300 Grovethorn RdMiddle River, MD 21220-4827 · (443) 425-0619
Phone(410) 870-3808
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 5, 2025
NPPES CertifiedMay 4, 2025
✔ NPI 1053100255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MD · 86358177
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5020 CAMPBELL BLVD STE L&M, Nottingham, MD 21236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Wall Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577081801
PECOS Enrollment IDI20250520001237

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN ANN DICARLO RDN, LDN
Dietitian, Registered
5020 CAMPBELL BLVD STE L&M
NOTTINGHAM, MD 21236
Baltimore County (410) 870-3808
LIA COOMBS CRNP
Nurse Practitioner (Family)
5020 CAMPBELL BLVD STE L&M
NOTTINGHAM, MD 21236
Baltimore County (410) 870-3808
SEYONG CHOI RDN
Dietitian, Registered
5020 CAMPBELL BLVD STE L&M
NOTTINGHAM, MD 21236
Baltimore County (410) 870-3808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Wall's NPI number?

The NPI number for Amber Wall is 1053100255. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Amber Wall located?

Amber Wall practices at 5020 Campbell Blvd Ste L&m, Nottingham, MD 21236. The listed phone number is (410) 870-3808.

What is Amber Wall's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amber Wall enrolled in Medicare?

Yes. Amber Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amber Wall was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.