MISS NICHOELLE RENEE WALL PA
NPI 1407009418
Physician Assistant in Pasco, WA

Active since November 04, 2008PECOS Enrolled
5304 N ROAD 68, PASCO, WA 99301(509) 543-9300(509) 542-3059 Get Directions Write a Review

NPPES record last updated: April 15, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2019, Jan 25, 2017 (2 updates tracked since 2017).

About Miss Nichoelle Renee Wall Pa NPPES

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

MISS NICHOELLE RENEE WALL PA (NPI 1407009418) is an individual physician assistant in Pasco, Washington, licensed in Oregon (PA156832) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407009418
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS NICHOELLE RENEE WALLCredential: PA
Location Address5304 N ROAD 68Pasco, WA 99301-8078
Mailing Address589 Nw 11th StHermiston, OR 97838-6600 · (541) 567-1717 · Fax (541) 564-5994
Fax(509) 542-3059
Sole ProprietorNo
Enumeration DateNovember 4, 2008
Last NPPES UpdateApril 15, 20192 updates tracked since enumeration
NPI 1407009418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA156832
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5304 N ROAD 68, Pasco, WA 99301

Other Names 1

Professional Name (2)Mrs. Nichoelle Renee Gourley Pa

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Nichoelle Renee Wall Pa 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 99301 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 9

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

Family Medicine (Sports Medicine)
5304 N ROAD 68
PASCO, WA 99301
Physician Assistant (Medical)
5304 N ROAD 68
PASCO, WA 99301
Internal Medicine
5304 N ROAD 68
PASCO, WA 99301
Radiology (Diagnostic Radiology)
5304 N ROAD 68
PASCO, WA 99301
Podiatrist (Primary Podiatric Medicine)
5304 N ROAD 68
PASCO, WA 99301
Clinic/Center (Urgent Care)
5304 N ROAD 68
PASCO, WA 99301
Physician Assistant
5304 N ROAD 68
PASCO, WA 99301
Clinical Medical Laboratory
5304 N ROAD 68
PASCO, WA 99301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407009418, enumerated as an "individual" on November 04, 2008.

The provider is located at 5304 N ROAD 68 PASCO, WA 99301 and the phone number is (509) 543-9300.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.