MRS. KANDACE MARIE WALL APRN
NPI 1144562620
Nurse Practitioner - Family in Lexington, KY
About Mrs. Kandace Marie Wall Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KANDACE MARIE WALL APRN (NPI 1144562620) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3007996) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Kandace Marie Wall Aprn 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 Reassignments
5Medicare enrollment records show Kandace Wall reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 89 clinicians in this Medicare group
London, KY 40741
- Reassigned Medicare billing, Kentucky enrollment
- 362 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky enrollment
- 358 clinicians in this Medicare group
Franklin, KY 42134
- Reassigned Medicare billing, Kentucky enrollment
- 427 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Kentucky enrollment
- 270 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40509 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
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 Kandace Wall's NPI number?
The NPI number for Kandace Wall is 1144562620. It was assigned to this individual provider in the NPPES registry on March 21, 2013.
Where is Kandace Wall located?
Kandace Wall practices at 1792 Alysheba Way Suite 150, Lexington, KY 40509. The listed phone number is (859) 335-9041.
What is Kandace Wall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kandace Wall enrolled in Medicare?
Yes. Kandace 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 organizations bill Medicare for Kandace Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kandace Wall reassigns Medicare benefits to 5 organizations: 24 On Physicians, PC (Danville, KY), Brock Medical, LLC (London, KY), Southeastern Physician Services PC (Oak Ridge, TN), Fast Pace Kentucky PLLC (Franklin, KY) and Upperline Healthcare, PC (Hoover, AL). Each 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 Kandace Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kandace Wall accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Kandace Wall 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 Kandace Wall was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Kandace Marie Wall, APRN · NPI 1144562620
Family physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since March 21, 2013.
## Identity
- **NPI:** 1144562620 (Entity type: Individual)
- **Enumerated:** March 21, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3007996 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 1792 ALYSHEBA WAY, SUITE 150, Lexington, KY 40509-2288
- **Phone:** (859) 335-9041
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): 24 On Physicians, PC (NPI 1679522346, Danville, KY); Brock Medical, LLC (NPI 1023379815, London, KY); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN); Fast Pace Kentucky PLLC (NPI 1457716706, Franklin, KY); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1144562620) · Data from the CMS NPPES public registry.