JESSICA B WALLS FNP
NPI 1679871842
Nurse Practitioner - Family in Johnson City, TN

Q: What is Jessica Walls's NPI number?

The NPI number for Jessica Walls is 1679871842. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Q: What is Jessica Walls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Walls was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 11, 2011PECOS Enrolled

301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-0720 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, Jul 11, 2018, Mar 2, 2018 and 1 more (4 updates tracked since 2017).

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About Jessica B Walls Fnp NPPES

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

JESSICA B WALLS FNP (NPI 1679871842) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (15671) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679871842

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA B WALLSCredential: FNP

Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604

Mailing Address100 May Apple LnJohnson City, TN 37615-4386 · (423) 557-4937

Phone(423) 794-5520

Fax(423) 282-0720

Sole ProprietorNo

Enumeration DateMarch 11, 2011

Last NPPES UpdateJune 1, 20234 updates tracked since enumeration

NPPES CertifiedJune 1, 2023

✔ NPI 1679871842 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 TN · 15671

301 MED TECH PKWY STE 240, Johnson City, TN 37604

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Other Identifiers 1

Medicaid1523569TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica B Walls Fnp 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 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 20

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

ELIZABETH A PETTEY NP

Nurse Practitioner