MRS. LISA LAURA WALL (PA) – Physician Assistant, NPI 1205085321
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for MRS. LISA LAURA WALL (PA)
484 US HIGHWAY 1 STE C
SEBASTIAN, FL 329588454
Phone: (772) 646-6100
Fax: (772) 646-6110
Type: Location
484 US Highway 1 Ste C
Sebastian, FL 329588454
Phone: (772) 646-6100
Fax: (772) 646-6110
Type: Location
3755 7TH TER STE 101
VERO BEACH, FL 329606531
Phone: (772) 569-5056
Fax: (772) 562-5098
Type: Location
Southhall Lane, Maitland, Orange County, Florida, 32810, United States
MAITLAND, FL 327517172
Phone: (407) 875-2080
Fax: (407) 650-3455
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 56 Open Payments records for all available years, with a total value of $1,775.
Total Amount is formed as General ($1,775) + Research ($0) + Ownership ($0) = $1,775.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($287).
Total Amount
$1,775
General + Research + Ownership
Payments
56
Total payment records
General Amount
$1,775
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $287 |
| ABBVIE INC. | $280 |
| Janssen Biotech, Inc. | $262 |
| UCB, Inc. | $125 |
| LEO Pharma Inc. | $124 |
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: 2016-03-31
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160331000092 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,358 | 388 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,389 | 933 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 813 | 518 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 445 | 361 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 438 | 359 | $0 |
Insurance plans in this area (ZIP 32958)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| - | FL | |
| D E R M A T O L O G Y | MI |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.