SUSAN WALL – Adult Health Nurse Practitioner, NPI 1508132291

SUSAN WALL is a healthcare provider. based in Paoli, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP011945 (PA). The NPI Number for SUSAN WALL is 1508132291

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN WALL
NPI
1508132291
Phone
(484) 565-1600
Address
255 W LANCASTER AVE
Enumeration Date
27 March 2012
Last Update Date
22 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4843374286
Graduation Year
2011 (15 years ago)
PAC ID
0648432641
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20120509000447
Address ID
PA193011792PA255XXAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for SUSAN WALL

  • 255 W LANCASTER AVE

    PAOLI, PA 193011763

    Phone: (484) 565-1600

    Fax: (610) 647-2006

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2012-05-09

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
I20120509000447INurse PractitionerPATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes142106$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes106103$0
99497Advance care planning, first 30 minutes5048$0
View full utilization report →

Insurance plans in this area (ZIP 19301)

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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: 1951215201View full group profile

Reviews

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Frequently asked questions

Where can patients find SUSAN WALL's NPI?
You can confirm SUSAN WALL with NPI 1508132291; it appears in the national provider directory.
Is SUSAN WALL active in the national directory?
SUSAN WALL's public NPI profile is in an active state.
What field does SUSAN WALL work in?
You can think of SUSAN WALL as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does SUSAN WALL practice in Pennsylvania?
You will see Paoli, Pennsylvania on file for SUSAN WALL alongside any extra practice locations.
What if Paoli, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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