AMANDA NICOLE ALEXANDER-WALL (M.D.) – Obstetrics & Gynecology Physician, NPI 1578823894

AMANDA NICOLE ALEXANDER-WALL (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 43952 (AL). The NPI Number for AMANDA NICOLE ALEXANDER-WALL (M.D.) is 1578823894

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA NICOLE ALEXANDER-WALL (M.D.)
NPI
1578823894
Phone
(863) 680-7243
Address
2300 E COUNTY ROAD 540A
Enumeration Date
21 May 2012
Last Update Date
15 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2566759269
Graduation Year
2012 (14 years ago)
PAC ID
6305081811
Group Practice PAC ID
2668742818
Professional Enrollment ID
I20220519000375
Address ID
AL358015051HU320XXSWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for AMANDA NICOLE ALEXANDER-WALL (M.D.)

  • 2300 E COUNTY ROAD 540A

    LAKELAND, FL 338133825

    Phone: (863) 680-7243

    Fax: (866) 264-8519

    Type: Location

  • 1600 LAKELAND HILLS BLVD

    LAKELAND, FL 338053019

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

  • 320 PELHAM AVE SW STE 301

    HUNTSVILLE, AL 358015051

    Phone: (256) 759-9269

    Fax: (256) 759-9187

    Type: Location

  • 1755 N FLORIDA AVE

    LAKELAND, FL 338053109

    Phone: (863) 680-7243

    Fax: (866) 264-8519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $507.

Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($259).

Total Amount

$507

General + Research + Ownership

Payments

21

Total payment records

General Amount

$507

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-05-19

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
I20220519000375IObstetrics/GynecologyALTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 33813)

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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: 2668742818View full group profile
NameSpecialtyState
-AL
Nurse PractitionerAL
Certified Nurse Midwife (Cnm)TN
Certified Nurse Midwife (Cnm)AL
Certified Nurse Midwife (Cnm)MS
Certified Nurse Midwife (Cnm)AL
O B S T E T R I C S/ G Y N E C O L O G YAL

Reviews

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Frequently asked questions

How do payers reference AMANDA NICOLE ALEXANDER-WALL (M.D.)?
For AMANDA NICOLE ALEXANDER-WALL (M.D.), use NPI 1578823894 as the unique 10-digit identifier.
Is AMANDA NICOLE ALEXANDER-WALL (M.D.) still an active registrant?
AMANDA NICOLE ALEXANDER-WALL (M.D.) carries an active NPI according to the public dataset.
How would a patient describe AMANDA NICOLE ALEXANDER-WALL (M.D.)'s focus?
For AMANDA NICOLE ALEXANDER-WALL (M.D.), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is AMANDA NICOLE ALEXANDER-WALL (M.D.) registered?
Use Lakeland, Florida as the headline location for AMANDA NICOLE ALEXANDER-WALL (M.D.) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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