TRINITY WALLS NP
NPI 1053970558
Nurse Practitioner in Chicago, IL

Active since June 07, 2019PECOS Enrolled
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604(888) 731-8994 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2024, Apr 30, 2024, Nov 14, 2022 and 1 more (4 updates tracked since 2019).

About Trinity Walls Np NPPES

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

TRINITY WALLS NP (NPI 1053970558) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (277.002315) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053970558
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRINITY WALLSCredential: NP
Location Address111 W JACKSON BLVD STE 1700Chicago, IL 60604-3597
Mailing AddressPo Box 1014Matteson, IL 60443-4014
Sole ProprietorNo
Enumeration DateJune 7, 2019
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1053970558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 277.002315
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 209.018941 (IL), 277.002315 (IL)
111 W JACKSON BLVD STE 1700, Chicago, IL 60604

Other Names 1

Former Name (1)Ms. Trinity Clark

Secondary Practice Locations 2

Location 1139 Centre St Ph 120New York, NY 10013-4559 · Phone (888) 731-8994
Location 2111 N Orange Ave Ste 800Orlando, FL 32801-2381 · Phone (888) 731-8994

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Trinity Walls Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

Nurse Practitioner (Family)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Nutritionist
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Nurse Practitioner
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Psychiatry & Neurology (Psychiatry)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Nurse Practitioner (Women's Health)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Nurse Practitioner
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604
Nurse Practitioner (Women's Health)
111 W JACKSON BLVD STE 1700
CHICAGO, IL 60604

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 Trinity Walls's NPI number?

The NPI number for Trinity Walls is 1053970558. It was assigned to this individual provider in the NPPES registry on June 7, 2019. The provider is also known as Ms. Trinity Clark.

Where is Trinity Walls located?

Trinity Walls practices at 111 W Jackson Blvd Ste 1700, Chicago, IL 60604. The listed phone number is (888) 731-8994.

What is Trinity Walls's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Trinity Walls enrolled in Medicare?

Yes. Trinity Walls is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trinity Walls was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.