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ANNETTE FAULKNER WALL ARNP
NPI 1366977902
Nurse Practitioner - Acute Care in Jacksonville, FL

Active since April 20, 2017PECOS Enrolled
81.9/100
CMS Quality Rating
14601 SWANSEA CT, JACKSONVILLE, FL 32258(904) 616-4648 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Annette Faulkner Wall Arnp NPPES

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

ANNETTE FAULKNER WALL ARNP (NPI 1366977902) is an individual acute care provider in Jacksonville, Florida, licensed in Florida (1365492) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366977902
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameANNETTE FAULKNER WALLCredential: ARNP
Location Address14601 SWANSEA CTJacksonville, FL 32258-4446
Mailing Address14601 Swansea CtJacksonville, FL 32258-4446 · (904) 616-4648
Phone(904) 616-4648
Sole ProprietorYes
Enumeration DateApril 20, 2017
✔ NPI 1366977902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · 1365492
14601 SWANSEA CT, Jacksonville, FL 32258
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Faulkner Wall Arnp 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 32258 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Annette Wall's NPI number?

The NPI number for Annette Wall is 1366977902. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Annette Wall located?

Annette Wall practices at 14601 Swansea Ct, Jacksonville, FL 32258. The listed phone number is (904) 616-4648.

What is Annette Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Annette Wall enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Annette Wall was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.