NICOLE WALLS FNP-BC
NPI 1366151870
Nurse Practitioner - Family in Orofino, ID

Q: What is Nicole Walls's NPI number?

The NPI number for Nicole Walls is 1366151870. It was assigned to this individual provider in the NPPES registry on November 23, 2022.

Q: What is Nicole Walls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Walls was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 23, 2022PECOS EnrolledAccepts Medicare Assignment

301 CEDAR ST, OROFINO, ID 83544(208) 476-5777 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Jan 27, 2023, Nov 23, 2022 (3 updates tracked since 2022).

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About Nicole Walls Fnp-bc NPPES

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

NICOLE WALLS FNP-BC (NPI 1366151870) is an individual family provider in Orofino, Idaho, licensed in Idaho (72250) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with St Joseph Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366151870

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE WALLSCredential: FNP-BC

Location Address301 CEDAR STOrofino, ID 83544-9029

Mailing Address301 Cedar StOrofino, ID 83544-9029 · (208) 476-5777

Phone(208) 476-5777

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 23, 2022

Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2023

✔ NPI 1366151870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 72250

Also ListedRegistered NurseTaxonomy 163W00000X · License 72250 (ID)

301 CEDAR ST, Orofino, ID 83544

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Walls Fnp-bc 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.

PECOS PAC ID3577929967

PECOS Enrollment IDI20230509001684

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130003

Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County

Emergency services Birthing friendly

Clearwater Valley Hospital & Clinics

Critical Access Hospitals · Orofino, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131320

Location301 Cedar StreetOrofino, ID 83544 · Clearwater County

Emergency services

St Marys Hospital And Clinics

Critical Access Hospitals · Cottonwood, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131321

Location701 Lewiston StCottonwood, ID 83522 · Idaho County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83544 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

CLEARWATER VALLEY HOSPITAL & CLINICS

Clinic/Center (Rural Health)