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 Harwich, MA

Q: 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.

Q: What is Brianna Wall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brianna Wall was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 05, 2022PECOS Enrolled

16 VINEYARD LN, HARWICH, MA 02645(774) 209-0612 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 17, 2026, Apr 5, 2022 (2 updates tracked since 2022).

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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 Harwich, Massachusetts, licensed in Colorado (PA.0009912) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1689315533

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameBRIANNA KATHERINE WALLCredential: PA

Location Address16 VINEYARD LNHarwich, MA 02645-2455

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(774) 209-0612

Sole ProprietorNo

Enumeration DateApril 5, 2022

Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration

NPPES CertifiedAugust 17, 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

16 VINEYARD LN, Harwich, MA 02645

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Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2520 · Phone (720) 848-0000

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.

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 16 Vineyard Ln, Harwich, MA 02645. The listed phone number is (774) 209-0612.

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 August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.