MRS. KATHERINE RACHEL WALL RN
NPI 1427699628
Nurse Practitioner - Women's Health in Minneapolis, MN

Active since September 30, 2019PECOS EnrolledAccepts Medicare Assignment
1200 LAGOON AVE, MINNEAPOLIS, MN 55408(612) 823-6300 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2026, Mar 15, 2023, Sep 30, 2019 (3 updates tracked since 2019).

About Mrs. Katherine Rachel Wall Rn NPPES

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

MRS. KATHERINE RACHEL WALL RN (NPI 1427699628) is an individual women's health provider in Minneapolis, Minnesota, licensed in Minnesota (9958) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Cincinnati College Of Medicine And Surgery (2022).

NPPES Registry Identity

NPI1427699628
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. KATHERINE RACHEL WALLCredential: RN
Location Address1200 LAGOON AVEMinneapolis, MN 55408-2077
Mailing Address1045 Oakwood RdNewport, MN 55055-1838 · (585) 489-4304
Sole ProprietorNo
Medical School CMSCincinnati College Of Medicine And SurgeryGraduated 2022
Enumeration DateSeptember 30, 2019
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1427699628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MN · 9958
Also ListedRegistered NurseTaxonomy 163W00000X · License 95058339 (CA)
1200 LAGOON AVE, Minneapolis, MN 55408

Other Names 1

Former Name (1)Miss Katherine Rachel Wall

Secondary Practice Location 1

Location 1121 Washington Ave N Fl 2Minneapolis, MN 55401-1619 · Phone (888) 731-8994

Other Identifiers 1

Medicaid3094CA

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 and accepts Medicare assignment

Mrs. Katherine Rachel Wall Rn 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 ID749654960
PECOS Enrollment IDI20230329002153
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 55408 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 19

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

Advanced Practice Midwife
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Women's Health)
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Women's Health)
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Advanced Practice Midwife
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Obstetrics & Gynecology (Gynecology)
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Specialist
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Women's Health)
1200 LAGOON AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Women's Health)
1200 LAGOON AVE
MINNEAPOLIS, MN 55408

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 Katherine Wall's NPI number?

The NPI number for Katherine Wall is 1427699628. It was assigned to this individual provider in the NPPES registry on September 30, 2019. The provider is also known as Miss Katherine Rachel Wall.

Where is Katherine Wall located?

Katherine Wall practices at 1200 Lagoon Ave, Minneapolis, MN 55408. The listed phone number is (612) 823-6300.

What is Katherine Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Katherine Wall enrolled in Medicare?

Yes. Katherine Wall 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.

What insurance does Katherine Wall accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Katherine 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 Katherine Wall was last updated on April 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.