AISHIA SYMONE WALL NP
NPI 1790331981
Nurse Practitioner - Family in Fairport, NY

Q: What is Aishia Wall's NPI number?

The NPI number for Aishia Wall is 1790331981. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Aishia Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Aishia Wall was last updated on August 16, 2024. 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.

Active since August 13, 2019PECOS Enrolled

41 OCONNOR RD, FAIRPORT, NY 14450(585) 383-2216 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 16, 2024, Oct 25, 2023, Aug 13, 2019 (3 updates tracked since 2019).

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About Aishia Symone Wall Np NPPES

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

AISHIA SYMONE WALL NP (NPI 1790331981) is an individual family provider in Fairport, New York, licensed in New York (352346) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790331981

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAISHIA SYMONE WALLCredential: NP

Location Address41 OCONNOR RDFairport, NY 14450-1327

Mailing Address41 Oconnor RdFairport, NY 14450-1327

Phone(585) 383-2216

Sole ProprietorNo

Enumeration DateAugust 13, 2019

Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration

NPPES CertifiedAugust 16, 2024

✔ NPI 1790331981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 352346

Also ListedRegistered NurseTaxonomy 163W00000X · License 747632 (NY)

41 OCONNOR RD, Fairport, NY 14450

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aishia Symone Wall Np 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 14450 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

MS. LAURA SCHULTZE SEPKA MS, CCC/SLP

Speech-Language Pathologist