ANASTACIA L WALL PA
NPI 1861660078
Physician Assistant - Medical in Aurora, CO

Active since February 11, 2008PECOS EnrolledAccepts Medicare Assignment
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anastacia L Wall Pa NPPES

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

ANASTACIA L WALL PA (NPI 1861660078) is an individual medical provider in Aurora, Colorado, licensed in Colorado (PA.0003785) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2007).

NPPES Registry Identity

NPI1861660078
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANASTACIA L WALLCredential: PA
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429 · (303) 493-7000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2007
Enumeration DateFebruary 11, 2008
Last NPPES UpdateOctober 19, 2018
NPI 1861660078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CO · PA.0003785 Licensed in CO · PA0003785
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA10005372 (WA)
12605 E 16TH AVE, Aurora, CO 80045

Other Names 1

Former Name (1)Stacy Howell

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

Anastacia L Wall Pa 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 ID6709960693
PECOS Enrollment IDI20131030001455
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 Anastacia Wall's NPI number?

The NPI number for Anastacia Wall is 1861660078. It was assigned to this individual provider in the NPPES registry on February 11, 2008. The provider is also known as Stacy Howell.

Where is Anastacia Wall located?

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

What is Anastacia Wall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anastacia Wall enrolled in Medicare?

Yes. Anastacia 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.

What insurance does Anastacia Wall accept?

Health plans from Medica, Providence Health Plan and UnitedHealthcare list Anastacia Wall 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.

When was this NPI record last updated?

The NPPES record for Anastacia Wall was last updated on October 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.