AMBER WALL RDN
NPI 1053100255
Dietitian, Registered in Towson, MD
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 Towson, Maryland, licensed in Maryland (86358177) and active in the NPI registry since May 2025. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Amber Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Linthicum Heights, MD 21090
- Reassigned Medicare billing, Maryland enrollment
- 121 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 22 West Rd, Towson, MD 21204. The listed phone number is (410) 370-0415.
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.
Which organization bills Medicare for Amber Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amber Wall reassigns Medicare benefits to Medstar Health Weight Management, LLC (Linthicum Heights, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amber Wall was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Amber Wall, RDN · NPI 1053100255
Dietitian, Registered provider in Towson, Maryland. Individual provider, active in the CMS NPPES registry since May 5, 2025.
## Identity
- **NPI:** 1053100255 (Entity type: Individual)
- **Enumerated:** May 5, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 86358177 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 WEST RD, Towson, MD 21204-2326
- **Phone:** (410) 370-0415
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Medstar Health Weight Management, LLC (NPI 1013785971, Linthicum Heights, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053100255) · Data from the CMS NPPES public registry.