DAWN MARIE WALL (NP-C) – Family Nurse Practitioner, NPI 1871080267

DAWN MARIE WALL (NP-C) is a healthcare provider. based in Edmond, Oklahoma. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. APRN002902 (NV). The NPI Number for DAWN MARIE WALL (NP-C) is 1871080267

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DAWN MARIE WALL (NP-C)
NPI
1871080267
Phone
(405) 705-5700
Address
16025 N Pennsylvania
Enumeration Date
20 April 2018
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027327440
Graduation Year
2017 (9 years ago)
PAC ID
5698039048
Group Practice PAC ID
8729256748
Professional Enrollment ID
I20180510001917
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:8State licenses:3Digital endpointsOther names

Provider Addresses for DAWN MARIE WALL (NP-C)

  • 16025 N Pennsylvania

    Edmond, OK 730137325

    Phone: (405) 705-5700

    Fax: (405) 705-5698

    Type: Location

  • 4424 S Eastern Ave

    Las Vegas, NV 891197825

    Phone: (702) 732-7440

    Type: Location

  • 1202 E Main St

    Willow Springs, MO 657933588

    Phone: (417) 469-1820

    Type: Location

  • 9412 S COLLEGE AVE APT 314

    TULSA, OK 741375240

    Phone: (918) 863-4076

    Type: Mailing

  • Dr. Antonio Serru Paez, MD, 4424, South Eastern Avenue, Las Vegas, Clark County, Nevada, 89119, United States

    LAS VEGAS, NV 891197825

    Phone: (702) 732-7440

    Type: Mailing

  • 2929 S GARNETT RD

    TULSA, OK 741295101

    Phone: (918) 665-1520

    Fax: (918) 663-8435

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2023-08-31 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($147).

Total Amount

$147

General + Research + Ownership

Payments

3

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-31

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: 2024-04-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230209001347INurse PractitionerMOTBD
I20240407000050INurse PractitionerOKTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg13227$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg13227$0
99214Established patient office or other outpatient visit, 30-39 minutes12277$0
99213Established patient office or other outpatient visit, 20-29 minutes11474$0
36415Insertion of needle into vein for collection of blood sample8058$0
View full utilization report →

Insurance plans in this area (ZIP 73013)

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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: 8729256748View full group profile
NameSpecialtyState
Internal MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What is the registry number for DAWN MARIE WALL (NP-C)?
The registry entry for DAWN MARIE WALL (NP-C) shows NPI 1871080267.
Should I treat DAWN MARIE WALL (NP-C) as an active provider?
Patients and plans typically see DAWN MARIE WALL (NP-C) as active in the national extract.
Which specialty label fits DAWN MARIE WALL (NP-C)?
NPPES ties DAWN MARIE WALL (NP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DAWN MARIE WALL (NP-C)?
DAWN MARIE WALL (NP-C) shows a connection to Edmond, Oklahoma in registry-derived data.
Why is information missing for DAWN MARIE WALL (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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