1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Nurse Practitioner
  6. NPI Profile

CRYSTAL TERESA WALL FNP
NPI 1093296022
Nurse Practitioner - Family in Charlotte, NC

Active since August 27, 2018PECOS Enrolled
515 SAWYERS MILL RD APT 105, CHARLOTTE, NC 28262(704) 724-7697 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 26, 2019, Sep 20, 2019, Oct 2, 2018 and 2 more (5 updates tracked since 2018).

About Crystal Teresa Wall Fnp NPPES

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

CRYSTAL TERESA WALL FNP (NPI 1093296022) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5010941) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093296022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL TERESA WALLCredential: FNP
Location Address515 SAWYERS MILL RD APT 105Charlotte, NC 28262-1893
Mailing Address515 Sawyers Mill Rd Apt 105Charlotte, NC 28262-1893
Phone(704) 724-7697
Sole ProprietorNo
Enumeration DateAugust 27, 2018
Last NPPES UpdateNovember 26, 20195 updates tracked since enumeration
✔ NPI 1093296022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5010941
515 SAWYERS MILL RD APT 105, Charlotte, NC 28262
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Teresa Wall Fnp 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 28262 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Frequently Asked Questions

What is Crystal Wall's NPI number?

The NPI number assigned to this healthcare provider is 1093296022, enumerated as an "individual" on August 27, 2018.

Where is the provider located?

The provider is located at 515 SAWYERS MILL RD APT 105 CHARLOTTE, NC 28262 and the phone number is (704) 724-7697.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.