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NATALIE WALL DO
NPI 1265173314
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Active since April 05, 2022PECOS Enrolled
3555 W 13 MILE RD STE N-120, ROYAL OAK, MI 48073(248) 865-4444(248) 865-6161 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Natalie Wall Do NPPES

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

NATALIE WALL DO (NPI 1265173314) is an individual student in an organized health care education/training program in Royal Oak, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265173314
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNATALIE WALLCredential: DO
Location Address3555 W 13 MILE RD STE N-120Royal Oak, MI 48073-6710
Mailing Address1058 Meadowcrest DrWaterford, MI 48327-2936 · (248) 412-3036
Phone(248) 865-4444
Fax(248) 865-6161
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1265173314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3555 W 13 MILE RD STE N-120, Royal Oak, MI 48073
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Other Names 1

Former Name (1)Natalie Shutt

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Wall Do 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.

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 Natalie Wall's NPI number?

The NPI number for Natalie Wall is 1265173314. It was assigned to this individual provider in the NPPES registry on April 5, 2022. The provider is also known as Natalie Shutt.

Where is Natalie Wall located?

Natalie Wall practices at 3555 W 13 Mile Rd Ste N-120, Royal Oak, MI 48073. The listed phone number is (248) 865-4444.

What is Natalie Wall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Natalie Wall enrolled in Medicare?

Yes. Natalie Wall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Natalie Wall was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.