KATHLEEN WALL CRNA
NPI 1336292325
Nurse Anesthetist, Certified Registered in Fort Myers, FL
About Kathleen Wall Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN WALL CRNA (NPI 1336292325) is an individual nurse anesthetist, certified registered in Fort Myers, Florida, licensed in Florida (ARNP 1389652) and active in the NPI registry since January 2007. She is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Kathleen Wall Crna 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
4Medicare enrollment records show Kathleen Wall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Myers, FL 33908
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Fort Myers, FL 33907
- Reassigned Medicare billing, Florida enrollment
- 33 clinicians in this Medicare group
Naples, FL 34103
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Miami, FL 33173
- Reassigned Medicare billing, Florida enrollment
- 318 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 2
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 33912 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33912
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 Kathleen Wall's NPI number?
The NPI number for Kathleen Wall is 1336292325. It was assigned to this individual provider in the NPPES registry on January 21, 2007.
Where is Kathleen Wall located?
Kathleen Wall practices at 6485 Morgan La Fee Ln, Fort Myers, FL 33912. The listed phone number is (239) 433-1749.
What is Kathleen Wall's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kathleen Wall enrolled in Medicare?
Yes. Kathleen 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 Kathleen Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Wall reassigns Medicare benefits to 4 organizations: Sunshine Anesthesia Pl (Fort Myers, FL), Moonlight Anesthesia, P.L. (Fort Myers, FL), Advanced Gastroenterology Of Naples, LLC (Naples, FL) and Galloway Anesthesia Associates LLC (Miami, FL). 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 Kathleen Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Wall was last updated on October 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Kathleen Wall, CRNA · NPI 1336292325
Nurse Anesthetist, Certified Registered physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since January 21, 2007.
## Identity
- **NPI:** 1336292325 (Entity type: Individual)
- **Enumerated:** January 21, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** ARNP 1389652 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6485 MORGAN LA FEE LN, Fort Myers, FL 33912-1644
- **Phone:** (239) 433-1749
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sunshine Anesthesia Pl (NPI 1649353665, Fort Myers, FL); Moonlight Anesthesia, P.L. (NPI 1033419791, Fort Myers, FL); Advanced Gastroenterology Of Naples, LLC (NPI 1659381614, Naples, FL); Galloway Anesthesia Associates LLC (NPI 1689989139, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** October 1, 2010
- **Other identifiers:** Medicaid 034758200 (FL); Medicare PIN G0354 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1336292325) · Data from the CMS NPPES public registry.