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RAQUEL WALL NURSE PRACTITIONER
NPI 1164036265
Nurse Practitioner - Family in Saint George, UT

Active since September 04, 2020Opted out of Medicare · through Jul 20, 2027
1490 E FOREMASTER DR STE 320, SAINT GEORGE, UT 84790(435) 359-3115(435) 319-7123 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Oct 31, 2023, Dec 9, 2021 and 1 more (4 updates tracked since 2020).

About Raquel Wall Nurse Practitioner NPPES

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

RAQUEL WALL NURSE PRACTITIONER (NPI 1164036265) is an individual family provider in Saint George, Utah, licensed in Utah (217908-4405) and active in the NPI registry since September 2020. She has opted out of Medicare through July 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164036265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRAQUEL WALLCredential: NURSE PRACTITIONER
Location Address1490 E FOREMASTER DR STE 320Saint George, UT 84790-4505
Mailing Address1490 E Foremaster Dr Ste 320Saint George, UT 84790-4505 · (435) 359-3115 · Fax (435) 319-7123
Phone(435) 359-3115
Fax(435) 319-7123
Sole ProprietorYes
Enumeration DateSeptember 4, 2020
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1164036265 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 UT · 217908-4405
1490 E FOREMASTER DR STE 320, Saint George, UT 84790
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Raquel Wall Nurse Practitioner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 20, 2023 through July 20, 2027.

Opt-Out Effective DateJuly 20, 2023
Opt-Out In Effect ThroughJuly 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 5

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

ALL OUT WISDOM TEETH, LLC
Clinic/Center (Dental)
1490 E FOREMASTER DR STE 320
SAINT GEORGE, UT 84790
Washington County (435) 414-3111
JASON EMETT DMD
Dentist (General Practice)
1490 E FOREMASTER DR STE 320
SAINT GEORGE, UT 84790
Washington County (435) 414-3111
CAPRICE COMPTON COUNSELING AND CONSULTING
Counselor (Mental Health)
1490 E FOREMASTER DR STE 320
ST GEORGE, UT 84790
Washington County (801) 989-6432
RAQUEL WALL NP, LLC
Nurse Practitioner (Family)
1490 E FOREMASTER DR STE 320
ST GEORGE, UT 84790
Washington County (435) 359-3115
CAPRICE ELIZABETH COMPTON LCMHC
Counselor (Mental Health)
1490 E FOREMASTER DR STE 320
ST GEORGE, UT 84790
Washington County (435) 351-2220

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 Raquel Wall's NPI number?

The NPI number for Raquel Wall is 1164036265. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Raquel Wall located?

Raquel Wall practices at 1490 E Foremaster Dr Ste 320, Saint George, UT 84790. The listed phone number is (435) 359-3115.

What is Raquel Wall's specialty?

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

Is Raquel Wall enrolled in Medicare?

No. Raquel Wall has opted out of Medicare through July 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Raquel Wall accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Raquel 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 Raquel Wall was last updated on July 11, 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.