DR. PHILIP WALL DC
NPI 1366259657
Chiropractor in Wasilla, AK
About Dr. Philip Wall Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP WALL DC (NPI 1366259657) is an individual chiropractor in Wasilla, Alaska, licensed in Alaska (231597) and active in the NPI registry since December 2024. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Philip Wall Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Philip Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Big Lake, AK 99652
- Reassigned Medicare billing, Alaska enrollment
- 4 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.
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 Philip Wall's NPI number?
The NPI number for Philip Wall is 1366259657. It was assigned to this individual provider in the NPPES registry on December 11, 2024.
Where is Philip Wall located?
Philip Wall practices at 1830 E Parks Hwy Ste A135, Wasilla, AK 99654. The listed phone number is (907) 373-5054.
What is Philip Wall's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Philip Wall enrolled in Medicare?
Yes. Philip Wall is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Philip Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Wall reassigns Medicare benefits to Arctic Chiropractic West Mat-Su, LLC (Big Lake, AK). The 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 Philip Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Wall accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Philip Wall 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.
When was this NPI record last updated?
The NPPES record for Philip Wall was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Dr. Philip Wall, DC · NPI 1366259657
Chiropractor provider in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since December 11, 2024.
## Identity
- **NPI:** 1366259657 (Entity type: Individual)
- **Enumerated:** December 11, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 231597 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 1830 E PARKS HWY STE A135, Wasilla, AK 99654-7378
- **Phone:** (907) 373-5054
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Arctic Chiropractic West Mat-Su, LLC (NPI 1013047117, Big Lake, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366259657) · Data from the CMS NPPES public registry.