Kaci Wall, CRNP - Medicare Nurse Practitioner in Plains, PA

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Kaci Wall, CRNP is a medicare enrolled "Nurse Practitioner" in Plains, Pennsylvania. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ophelia Medical Group Fl Pa and her current practice location is 220 S River St, Plains, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 824-8151.

Kaci Wall is licensed to practice in Pennsylvania (license number XXXXXXX) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467982876.

Contact Information

Kaci Wall, CRNP
220 S River St,
Plains, PA 18705-1137
(570) 824-8151
Not Available

Map and Direction




Provider's Profile

Full NameKaci Wall
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location220 S River St, Plains, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaci Wall graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1467982876
  • Provider Enumeration Date: 06/18/2017
  • Last Update Date: 07/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082970108
  • Enrollment ID: I20171106002917

Medical Identifiers

Medical identifiers for Kaci Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467982876NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner XXXXXXX (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ophelia Medical Group Fl Pa781039853476

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaci Wall allows following entities to bill medicare on her behalf.
Entity NameNortheastern Pennsylvania Cardiology Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043351281
PECOS PAC ID: 1052384658
Enrollment ID: O20040812001261
Entity NamePennsylvania Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497059802
PECOS PAC ID: 1153507025
Enrollment ID: O20110511000343
Entity NameOphelia Medical Group Fl Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588244750
PECOS PAC ID: 7810398534
Enrollment ID: O20210701000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaci Wall is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaci Wall, CRNP
49 Allenberry Dr,
Hanover Township, PA 18706-1481

Ph: (570) 328-5800		Kaci Wall, CRNP
220 S River St,
Plains, PA 18705-1137

Ph: (570) 824-8151

Reviews and Comments


Nurse Practitioner Nurses in Plains, PA

London Nicole Mckenna, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11 Gallagher Dr, Plains, PA 18705
Phone: 570-970-1030    Fax: 570-970-0511
Mr. Christopher Dominick Ellis, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 667 N River St #201, Plains, PA 18705
Phone: 570-823-1111    
Mrs. Catherine Forlenza, C.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 672 N River St, Suite 111, Plains, PA 18705
Phone: 570-552-7150    Fax: 570-552-7155

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.