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ROBERTA NICOLE WALL PA
NPI 1518398676
Physician Assistant in Holland, MI

Active since November 27, 2013PECOS EnrolledAccepts Medicare Assignment
588 E LAKEWOOD BLVD, 1ST FLOOR, HOLLAND, MI 49424(616) 494-5800 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 19, 2021, Jan 13, 2020, Nov 11, 2015 (3 updates tracked since 2015).

About Roberta Nicole Wall Pa NPPES

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

ROBERTA NICOLE WALL PA (NPI 1518398676) is an individual physician assistant in Holland, Michigan, licensed in Michigan (5601006833) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1518398676
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameROBERTA NICOLE WALLCredential: PA
Location Address588 E LAKEWOOD BLVD, 1ST FLOORHolland, MI 49424-2023
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Phone(616) 494-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 27, 2013
Last NPPES UpdateFebruary 19, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1518398676 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 MI · 5601006833
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.
588 E LAKEWOOD BLVD, Holland, MI 49424
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Roberta Nicole Wall Pa 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 ID143450023
PECOS Enrollment IDI20140221000567
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49424 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

JACOB LEPARD PA-C
Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5800
DR. YELENA V ISAYENKO M.D.
Family Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5800
ALYSHA NICOLE KIRKWOOD DO
Obstetrics & Gynecology
588 E LAKEWOOD BLVD, 2ND FLOOR
HOLLAND, MI 49424
Ottawa County (616) 494-5850
CHERI ANN WEISNER PA
Physician Assistant
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5900
NANCY MACDONALD MD
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5850
BENJAMIN L DOZEMAN DO
Internal Medicine
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5810
DR. ALLISON LYNN RUND MD
Pediatrics
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5840
WEST MICHIGAN HEART
Internal Medicine (Cardiovascular Disease)
588 E LAKEWOOD BLVD
HOLLAND, MI 49424
Ottawa County (616) 494-5901

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 Roberta Wall's NPI number?

The NPI number for Roberta Wall is 1518398676. It was assigned to this individual provider in the NPPES registry on November 27, 2013.

Where is Roberta Wall located?

Roberta Wall practices at 588 E Lakewood Blvd 1st Floor, Holland, MI 49424. The listed phone number is (616) 494-5800.

What is Roberta Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Roberta Wall enrolled in Medicare?

Yes. Roberta 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 Roberta Wall accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Roberta 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.

Is Roberta Wall affiliated with any hospitals?

According to CMS data, Roberta Wall is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Roberta Wall was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.