MRS. DEANNA M WALL PA
NPI 1114963022
Physician Assistant - Medical in Boston, MA

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Oct 30, 2023, Aug 31, 2023 (3 updates tracked since 2023).

About Mrs. Deanna M Wall Pa NPPES

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

MRS. DEANNA M WALL PA (NPI 1114963022) is an individual medical provider in Boston, Massachusetts, licensed in Massachusetts (PA7360) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114963022
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. DEANNA M WALLCredential: PA
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2002
Enumeration DateJune 20, 2006
Last NPPES UpdateApril 4, 20243 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1114963022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in MA · PA7360 Licensed in RI · PA00511
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA00511 (RI)
75 FRANCIS ST, Boston, MA 02115

Other Names 1

Former Name (1)Miss Deanna M Oster Pa

Secondary Practice Locations 2

Location 141 Sanderson Rd, Suite 201Smithfield, RI 02917-2602 · Phone (401) 349-0366 · Fax (401) 349-4875
Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 681-4996 · Fax (401) 921-6569

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

Mrs. Deanna M Wall Pa 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 ID5890723035
PECOS Enrollment IDI20150630001691
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Infectious Disease)
75 FRANCIS ST
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115

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 Deanna Wall's NPI number?

The NPI number for Deanna Wall is 1114963022. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Miss Deanna M Oster PA.

Where is Deanna Wall located?

Deanna Wall practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Deanna Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Deanna Wall enrolled in Medicare?

Yes. Deanna 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.

Is Deanna Wall affiliated with any hospitals?

According to CMS data, Deanna Wall is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Deanna Wall was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.