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: February 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 19, 2025, Oct 11, 2024 (2 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 Address534 Enchanted Lakes DrHenderson, NV 89052-5626 · (702) 513-9070
Sole ProprietorNo
Medical School CMSRoseman Univ Of Hlth Sciences, Col Of Dental MedGraduated 2021
Enumeration DateOctober 11, 2024
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
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

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

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.

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 9

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

Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Family Medicine
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Physician Assistant
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401
Nurse Practitioner (Family)
2501 N STOCKTON HILL RD STE 108
KINGMAN, AZ 86401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659191906, enumerated as an "individual" on October 11, 2024.

The provider is located at 2501 N STOCKTON HILL RD STE 108 KINGMAN, AZ 86401 and the phone number is (928) 255-5050.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.