DONNIETRA LA'VERNE WALLS AGACNP-BC
NPI 1710654744
Nurse Practitioner - Acute Care in Jackson, MI

Active since August 26, 2021PECOS EnrolledAccepts Medicare Assignment
1201 E MICHIGAN AVE STE 240, JACKSON, MI 49201(517) 205-1591(517) 782-1713 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2023, Aug 26, 2021 (2 updates tracked since 2021).

About Donnietra La'verne Walls Agacnp-bc NPPES

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

DONNIETRA LA'VERNE WALLS AGACNP-BC (NPI 1710654744) is an individual acute care provider in Jackson, Michigan, licensed in Michigan (2021034592) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Hillsdale Hospital, and maintains a secondary practice location in Ypsilanti.

NPPES Registry Identity

NPI1710654744
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDONNIETRA LA'VERNE WALLSCredential: AGACNP-BC
Location Address1201 E MICHIGAN AVE STE 240Jackson, MI 49201-1855
Mailing Address1201 E Michigan Ave Ste 240Jackson, MI 49201-1855 · (517) 205-1591 · Fax (517) 782-1713
Fax(517) 782-1713
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 26, 2021
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
NPI 1710654744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 2021034592
1201 E MICHIGAN AVE STE 240, Jackson, MI 49201

Secondary Practice Location 1

Location 1812 Cliffs Dr Apt 201Ypsilanti, MI 48198-7324 · Phone (810) 610-4054

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

Donnietra La'verne Walls Agacnp-bc 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 ID1456727817
PECOS Enrollment IDI20221026002400
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hillsdale Hospital

Acute Care Hospitals · Hillsdale, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230037
Location168 S Howell StreetHillsdale, MI 49242 · Hillsdale County
Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

Nurse Practitioner (Family)
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Neurological Surgery
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Nurse Practitioner (Family)
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Nurse Practitioner (Family)
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Nurse Practitioner (Gerontology)
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Neurological Surgery
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Nurse Practitioner (Acute Care)
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201
Nurse Practitioner (Family)
1201 E MICHIGAN AVE STE 240
JACKSON, MI 49201

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 Donnietra Walls's NPI number?

The NPI number for Donnietra Walls is 1710654744. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Donnietra Walls located?

Donnietra Walls practices at 1201 E Michigan Ave Ste 240, Jackson, MI 49201. The listed phone number is (517) 205-1591.

What is Donnietra Walls's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Donnietra Walls enrolled in Medicare?

Yes. Donnietra Walls is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donnietra Walls accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Donnietra Walls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Donnietra Walls affiliated with any hospitals?

According to CMS data, Donnietra Walls is affiliated with Hillsdale Hospital and Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Donnietra Walls was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.