REAGAN WALLS MSN, APRN, FNP-C
NPI 1134770621
Nurse Practitioner - Family in Tyler, TX

Active since September 25, 2019PECOS Enrolled
8591 S BROADWAY AVE, TYLER, TX 75703(903) 606-5777 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Sep 15, 2020, Oct 8, 2019 and 2 more (5 updates tracked since 2019).

About Reagan Walls Msn, Aprn, Fnp-c NPPES

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

REAGAN WALLS MSN, APRN, FNP-C (NPI 1134770621) is an individual family provider in Tyler, Texas, licensed in Texas (AP142027) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134770621
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREAGAN WALLSCredential: MSN, APRN, FNP-C
Location Address8591 S BROADWAY AVETyler, TX 75703-5470
Mailing AddressPo Box 846098Dallas, TX 75284-6098 · (903) 606-6400 · Fax (903) 606-1522
Sole ProprietorNo
Enumeration DateSeptember 25, 2019
Last NPPES UpdateAugust 10, 20235 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1134770621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP142027
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP142027 (TX)
8591 S BROADWAY AVE, Tyler, TX 75703

Secondary Practice Locations 2

Location 19900 Bren Rd EMinnetonka, MN 55343-9664 · Phone (000) 000-0000
Location 2417 S Saunders AveTyler, TX 75702-8344 · Phone (903) 606-5777

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Reagan Walls Msn, Aprn, Fnp-c 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 75703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 14

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

Nurse Practitioner
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Student in an Organized Health Care Education/Training Program
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703
Family Medicine (Sports Medicine)
8591 S BROADWAY AVE
TYLER, TX 75703
Registered Nurse (Registered Nurse First Assistant)
8591 S BROADWAY AVE
TYLER, TX 75703

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 Reagan Walls's NPI number?

The NPI number for Reagan Walls is 1134770621. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Reagan Walls located?

Reagan Walls practices at 8591 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 606-5777.

What is Reagan Walls's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Reagan Walls enrolled in Medicare?

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

What insurance does Reagan Walls accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Reagan Walls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reagan Walls was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.