MS. DEBRA A DEWALL (PA-C) – Physician Assistant, NPI 1689621195

MS. DEBRA A DEWALL (PA-C) is a healthcare provider. based in Fort collins, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 1042 (CO). The NPI Number for MS. DEBRA A DEWALL (PA-C) is 1689621195

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. DEBRA A DEWALL (PA-C)
NPI
1689621195
Phone
(970) 493-6337
Address
2121 E Harmony Rd Unit 170
Enumeration Date
28 May 2006
Last Update Date
5 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
1994 (32 years ago)
PAC ID
4082633847
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20130130000057
Address ID
CO801047419CA4404XLNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for MS. DEBRA A DEWALL (PA-C)

  • 2121 E Harmony Rd Unit 170

    Fort Collins, CO 805283413

    Phone: (970) 493-6337

    Fax: (970) 493-3528

    Type: Location

  • 2500 Rocky Mountain Ave

    Loveland, CO 805389004

    Phone: (970) 203-7080

    Fax: (970) 203-7085

    Type: Location

  • 18th Avenue, Greeley, Weld County, Colorado, 80631-6948, United States

    GREELEY, CO 806315151

    Phone: (970) 347-5780

    Fax: (970) 347-5797

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $367.

Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$367

General + Research + Ownership

Payments

5

Total payment records

General Amount

$367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130130000057IPhysician AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes13686$0
99215Established patient office or other outpatient visit, 40-54 minutes9579$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or1211$0
View full utilization report →

Insurance plans in this area (ZIP 80528)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile

Reviews

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Frequently asked questions

Can I cross-check MS. DEBRA A DEWALL (PA-C) using NPI 1689621195?
NPI 1689621195 belongs to MS. DEBRA A DEWALL (PA-C); compare other details if you need extra assurance.
Would MS. DEBRA A DEWALL (PA-C) appear as active to a payer?
You can treat MS. DEBRA A DEWALL (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MS. DEBRA A DEWALL (PA-C)?
At a glance, MS. DEBRA A DEWALL (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. DEBRA A DEWALL (PA-C)?
Directory geography for MS. DEBRA A DEWALL (PA-C) centers on Fort Collins, Colorado.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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