GABRIELLE NICOLE WALL PMHNP-BC
NPI 1730068602
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, PA

Active since August 27, 2025PECOS EnrolledAccepts Medicare Assignment
283 S BUTLER RD, LEBANON, PA 17042(717) 270-2422 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gabrielle Nicole Wall Pmhnp-bc NPPES

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

GABRIELLE NICOLE WALL PMHNP-BC (NPI 1730068602) is an individual psychiatric/mental health provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP030006) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1730068602
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameGABRIELLE NICOLE WALLCredential: PMHNP-BC
Location Address283 S BUTLER RDLebanon, PA 17042-8939
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 27, 2025
Last NPPES UpdateApril 3, 2026
NPPES CertifiedApril 3, 2026
NPI 1730068602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in PA · SP030006
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License SP030006 (PA)
283 S BUTLER RD, Lebanon, PA 17042

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

Gabrielle Nicole Wall Pmhnp-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 ID5193216612
PECOS Enrollment IDI20251112003678
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 17042 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Nurse Practitioner
283 S BUTLER RD
LEBANON, PA 17042
Psychiatry & Neurology (Psychiatry)
283 S BUTLER RD
LEBANON, PA 17042
Psychologist
283 S BUTLER RD
LEBANON, PA 17042
Social Worker
283 S BUTLER RD
LEBANON, PA 17042
Psychiatry & Neurology (Psychiatry)
283 S BUTLER RD
LEBANON, PA 17042
Psychiatry & Neurology (Psychiatry)
283 S BUTLER RD
LEBANON, PA 17042
Nurse Practitioner (Psychiatric/Mental Health)
283 S BUTLER RD
LEBANON, PA 17042
Clinic/Center
283 S BUTLER RD
LEBANON, PA 17042

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 Gabrielle Wall's NPI number?

The NPI number for Gabrielle Wall is 1730068602. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Where is Gabrielle Wall located?

Gabrielle Wall practices at 283 S Butler Rd, Lebanon, PA 17042. The listed phone number is (717) 270-2422.

What is Gabrielle Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Gabrielle Wall enrolled in Medicare?

Yes. Gabrielle Wall 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.

When was this NPI record last updated?

The NPPES record for Gabrielle Wall was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.