MRS. DEANNA M WALL (PA) – Medical Physician Assistant, NPI 1114963022
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
773 PHYSICIAN ASSISTANT in RI
Provider Addresses for MRS. DEANNA M WALL (PA)
41 Sanderson Rd
Suite 201
Smithfield, RI 029172602
Phone: (401) 349-0366
Fax: (401) 349-4875
Type: Location
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 681-4996
Fax: (401) 921-6569
Type: Location
Davol Square, Downtown, Providence, Providence County, Rhode Island, 02903, United States
SUITE 400
PROVIDENCE, RI 029034754
Phone: (401) 421-4000
Fax: (401) 272-1456
Type: Mailing
41, Sanderson Road, Greenville, Smithfield, Providence County, Rhode Island, 02917, United States
SUITE 201
SMITHFIELD, RI 029172602
Phone: (401) 349-0366
Fax: (401) 349-4875
Type: Location
75 FRANCIS ST
BOSTON, MA 021156110
Phone: (617) 732-5500
Type: Location
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 $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $27 |
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: 2020-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150630001691 | I | Physician Assistant | RI | TBD |
| I20200714002591 | I | Physician Assistant | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02917)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| Physician Assistant | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | RI |
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