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DONALD VINCENT WALL CNP
NPI 1659191906
Nurse Practitioner - Family in Kingman, AZ

Active since October 11, 2024PECOS EnrolledAccepts Medicare Assignment
2501 N STOCKTON HILL RD STE 108, KINGMAN, AZ 86401(928) 255-5050 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Feb 19, 2025, Oct 11, 2024 (3 updates tracked since 2024).

About Donald Vincent Wall Cnp NPPES

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

DONALD VINCENT WALL CNP (NPI 1659191906) is an individual family provider in Kingman, Arizona, licensed in Arizona (313585) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Roseman Univ Of Hlth Sciences, Col Of Dental Med (2021).

NPPES Registry Identity

NPI1659191906
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDONALD VINCENT WALLCredential: CNP
Location Address2501 N STOCKTON HILL RD STE 108Kingman, AZ 86401-4140
Mailing Address2501 N Stockton Hill Rd Ste 108Kingman, AZ 86401-4140 · (928) 255-5050 · Fax (888) 571-5897
Phone(928) 255-5050
Sole ProprietorNo
Medical School CMSRoseman Univ Of Hlth Sciences, Col Of Dental MedGraduated 2021
Enumeration DateOctober 11, 2024
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1659191906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 313585
2501 N STOCKTON HILL RD STE 108, Kingman, AZ 86401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Vincent Wall Cnp 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 ID2062945314
PECOS Enrollment IDI20241025000834
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Wall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prescott Healthcare Solutions LLC
99 mi
Family Medicine
743 MILLER VALLEY RD
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 214 clinicians in this Medicare group
NPI 1821454505 (928) 777-9600
Raghav LLC
146 mi
Multi-Specialty
12361 W BOLA DR, STE 109
Surprise, AZ 85378
  • Reassigned Medicare billing, Arizona enrollment
  • 17 clinicians in this Medicare group
NPI 1598125791 (623) 227-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86401 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 10

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

PRESCOTT HEALTHCARE SOLUTIONS LLC
Clinic/Center (Rural Health)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
ELWOOD JAMES HURLEY FNP
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
JEREMY BIRD
Physician Assistant
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
VELTA JEAN SOTO FNP
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
JULIE D WAITE ARNP
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
MS. SUSAN MARIE WARD FNP-BC
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
MS. JOCELYN PAWLICKI FNP
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050
MARY LEE BECK NP
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Mohave County (928) 255-5050

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 Donald Wall's NPI number?

The NPI number for Donald Wall is 1659191906. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Donald Wall located?

Donald Wall practices at 2501 N Stockton Hill Rd Ste 108, Kingman, AZ 86401. The listed phone number is (928) 255-5050.

What is Donald Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donald Wall enrolled in Medicare?

Yes. Donald 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.

Which organizations bill Medicare for Donald Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Wall reassigns Medicare benefits to 2 organizations: Prescott Healthcare Solutions LLC (Prescott, AZ) and Raghav LLC (Surprise, AZ). Each 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 Donald Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Wall accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Donald 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 Donald Wall was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.