KASSIDY B WALL FNP
NPI 1154845147
Nurse Practitioner - Family in Covington, LA
About Kassidy B Wall Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSIDY B WALL FNP (NPI 1154845147) is an individual family provider in Covington, Louisiana, licensed in Louisiana (AP09476) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Slidell Memorial Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kassidy B Wall Fnp 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
9Medicare enrollment records show Kassidy Wall reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 32 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 30 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 23 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 19 clinicians in this Medicare group
Covington, LA 70433
- Reassigned Medicare billing, Louisiana enrollment
- 21 clinicians in this Medicare group
Hammond, LA 70403
- Reassigned Medicare billing, Louisiana enrollment
- 21 clinicians in this Medicare group
Hammond, LA 70403
- Reassigned Medicare billing, Louisiana enrollment
- 26 clinicians in this Medicare group
Terrytown, LA 70056
- Reassigned Medicare billing, Louisiana enrollment
- 417 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Louisiana enrollment
- 52 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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Slidell Memorial Hospital
Acute Care Hospitals · Slidell, LASt Tammany Parish Hospital
Acute Care Hospitals · Covington, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
COVINGTON, LA 70433
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 Kassidy Wall's NPI number?
The NPI number for Kassidy Wall is 1154845147. It was assigned to this individual provider in the NPPES registry on August 1, 2017. The provider is also known as Kassidy Bynum.
Where is Kassidy Wall located?
Kassidy Wall practices at 1970 N Highway 190, Covington, LA 70433. The listed phone number is (985) 400-5988.
What is Kassidy Wall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kassidy Wall enrolled in Medicare?
Yes. Kassidy 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 Kassidy Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassidy Wall reassigns Medicare benefits to 9 organizations: Gulfsouth Hospital Medicine LLC (Covington, LA), Nni Covington LLC (Covington, LA), Northlake Nephrology Inc (Covington, LA), Slr Holdings LLC (Covington, LA), Gulfsouth Pulmonology, LLC (Covington, LA) and 4 more organizations, listed in the Medicare section above. 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 Kassidy Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kassidy Wall accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Kassidy 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.
Is Kassidy Wall affiliated with any hospitals?
According to CMS data, Kassidy Wall is affiliated with Slidell Memorial Hospital and St Tammany Parish Hospital.
When was this NPI record last updated?
The NPPES record for Kassidy Wall was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Kassidy B Wall, FNP · NPI 1154845147
Family physician in Covington, Louisiana. Individual provider, active in the CMS NPPES registry since August 1, 2017.
## Identity
- **NPI:** 1154845147 (Entity type: Individual)
- **Enumerated:** August 1, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP09476 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1970 N HIGHWAY 190, Covington, LA 70433-5364
- **Phone:** (985) 400-5988 · **Fax:** (985) 867-3644
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Gulfsouth Hospital Medicine LLC (NPI 1871097766, Covington, LA); Nni Covington LLC (NPI 1972060168, Covington, LA); Northlake Nephrology Inc (NPI 1366448458, Covington, LA); Slr Holdings LLC (NPI 1013500552, Covington, LA); Gulfsouth Pulmonology, LLC (NPI 1912404930, Covington, LA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 29, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1154845147) · Data from the CMS NPPES public registry.