DR. JENNA ELISE WALLS (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1891189320
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,861 FAMILY PRACTICE in IN
Provider Addresses for DR. JENNA ELISE WALLS (M.D.)
17600 SHAMROCK BLVD STE 400A
WESTFIELD, IN 460747002
Phone: (317) 770-3777
Fax: (317) 867-2031
Type: Mailing
17600 Shamrock Blvd Ste 400A
Westfield, IN 460747002
Phone: (317) 770-3777
Type: Location
14535 Hazel Dell Pkwy Bldg A
Carmel, IN 460339401
Phone: (317) 770-3777
Type: Location
8414 Naab Rd
Suite 120
Indianapolis, IN 462601972
Phone: (317) 338-7510
Fax: (317) 338-7494
Type: Location
5255 E STOP 11 RD STE 310
INDIANAPOLIS, IN 462376341
Phone: (317) 781-1133
Fax: (317) 837-4640
Type: Location
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($25).
Total Amount
$116
General + Research + Ownership
Payments
6
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $25 |
| Orthofix Medical, Inc. | $21 |
| DJO, LLC | $19 |
| Bioventus LLC | $18 |
| ABBVIE INC. | $17 |
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: 2018-06-07
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 |
|---|---|---|---|---|
| I20180607000106 | I | Sports Medicine | IN | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 84 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 23 | 17 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 22 | 12 | $0 |
Insurance plans in this area (ZIP 46074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
Reviews
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