NICOLE WALLS FNP-BC
NPI 1366151870
Nurse Practitioner - Family in Orofino, ID
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
Specialties & Licenses 2
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Walls reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orofino, ID 83544
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1033153739 (Idaho)
- 89 clinicians in this Medicare group
Nezperce, ID 83543
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Marys Hospital Inc
- 95 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.
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, IDClearwater Valley Hospital & Clinics
Critical Access Hospitals · Orofino, IDSt Marys Hospital And Clinics
Critical Access Hospitals · Cottonwood, IDPhysician 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.
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.
OROFINO, ID 83544
OROFINO, ID 83544
OROFINO, ID 83544
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 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.
Where is Nicole Walls located?
Nicole Walls practices at 301 Cedar St, Orofino, ID 83544. The listed phone number is (208) 476-5777.
What is Nicole Walls's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Walls enrolled in Medicare?
Yes. Nicole Walls 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 Nicole Walls's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Walls reassigns Medicare benefits to 2 organizations: Clearwater Valley Hospital & Clinics Inc. (Orofino, ID) and St. Mary's Hospital Inc (Nezperce, ID). 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 Nicole Walls's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Walls accept?
Health plans from Moda Health Plan, Inc. and Molina Healthcare list Nicole Walls 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.
Is Nicole Walls affiliated with any hospitals?
According to CMS data, Nicole Walls is affiliated with St Joseph Regional Medical Center, Clearwater Valley Hospital & Clinics and St Marys Hospital And Clinics.
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.
# Nicole Walls, FNP-BC · NPI 1366151870
Family physician in Orofino, Idaho. Individual provider, active in the CMS NPPES registry since November 23, 2022.
## Identity
- **NPI:** 1366151870 (Entity type: Individual)
- **Enumerated:** November 23, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 72250 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 CEDAR ST, Orofino, ID 83544-9029
- **Phone:** (208) 476-5777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clearwater Valley Hospital & Clinics Inc. (NPI 1073551396, Orofino, ID); St. Mary's Hospital Inc (NPI 1366480394, Nezperce, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366151870) · Data from the CMS NPPES public registry.