Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIANNA KATHERINE WALL PA
NPI 1689315533
Physician Assistant - Surgical in Aurora, CO

Active since April 05, 2022PECOS Enrolled
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2026, Aug 17, 2026, Apr 5, 2022 (3 updates tracked since 2022).

About Brianna Katherine Wall Pa NPPES

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

BRIANNA KATHERINE WALL PA (NPI 1689315533) is an individual surgical provider in Aurora, Colorado, licensed in Colorado (PA.0009912) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689315533
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameBRIANNA KATHERINE WALLCredential: PA
Location Address12605 E 16TH AVEAurora, CO 80045-2520
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 16, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1689315533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · PA.0009912
12605 E 16TH AVE, Aurora, CO 80045

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Katherine Wall Pa 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.

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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Brianna Wall's NPI number?

The NPI number for Brianna Wall is 1689315533. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Brianna Wall located?

Brianna Wall practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Brianna Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brianna Wall enrolled in Medicare?

Yes. Brianna Wall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brianna Wall was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.