JAMES ALLEN WALLA RN
NPI 1689288615
Nurse Practitioner in Ann Arbor, MI

Q: What is James Walla's NPI number?

The NPI number for James Walla is 1689288615. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Q: What is James Walla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for James Walla was last updated on March 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.

Active since September 08, 2020PECOS Enrolled

4250 PLYMOUTH RD, ANN ARBOR, MI 48109(734) 764-6443 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2021, Nov 5, 2020, Sep 8, 2020 (3 updates tracked since 2020).

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About James Allen Walla Rn NPPES

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

JAMES ALLEN WALLA RN (NPI 1689288615) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704267270) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689288615

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAMES ALLEN WALLACredential: RN

Location Address4250 PLYMOUTH RDAnn Arbor, MI 48109-2700

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 764-6443

Sole ProprietorNo

Enumeration DateSeptember 8, 2020

Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration

NPPES CertifiedMarch 19, 2021

✔ NPI 1689288615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704267270

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4250 PLYMOUTH RD, Ann Arbor, MI 48109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Allen Walla Rn 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 48109 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

NIKOLE MARIE HAMPTON MSW

Social Worker (Clinical)