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KAMIKA WALL
NPI 1285137380
Nurse Practitioner in Olive Branch, MS

Active since March 14, 2018PECOS Enrolled
7040 WIND STONE BLVD STE 150, OLIVE BRANCH, MS 38654(662) 874-5828(662) 874-5870 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2024, Jun 28, 2018, Mar 14, 2018 (3 updates tracked since 2018).

About Kamika Wall NPPES

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

KAMIKA WALL (NPI 1285137380) is an individual nurse practitioner in Olive Branch, Mississippi, licensed in Tennessee (24058) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285137380
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAMIKA WALL
Location Address7040 WIND STONE BLVD STE 150Olive Branch, MS 38654-9090
Mailing AddressPo Box 515Cordova, TN 38088-0515 · (901) 484-9099 · Fax (470) 222-2771
Phone(662) 874-5828
Fax(662) 874-5870
Sole ProprietorNo
Enumeration DateMarch 14, 2018
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1285137380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 24058
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 169468 (TN), 916499 (MS)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 905658 (MS), 24058 (TN)
7040 WIND STONE BLVD STE 150, Olive Branch, MS 38654
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Secondary Practice Locations 2

Location 18254 Weatherwood LnCordova, TN 38018-6344 · Phone (901) 352-8350 · Fax (470) 222-2771
Location 21009 Windcross Ct Ste 101Franklin, TN 37067-2678 · Phone (901) 651-1647

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamika Wall 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 38654 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 2

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

DESIGN YOUR WELLNESS, LLC
Clinic/Center (Health Service)
7040 WIND STONE BLVD STE 150
OLIVE BRANCH, MS 38654
Desoto County (662) 874-5828
SHUNTAY LATRICE WESBY APRN
Nurse Practitioner (Family)
7040 WIND STONE BLVD STE 150
OLIVE BRANCH, MS 38654
Desoto County (662) 874-5828

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 Kamika Wall's NPI number?

The NPI number for Kamika Wall is 1285137380. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Kamika Wall located?

Kamika Wall practices at 7040 Wind Stone Blvd Ste 150, Olive Branch, MS 38654. The listed phone number is (662) 874-5828.

What is Kamika Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kamika Wall enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kamika Wall was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.