MRS. JILL SUZANNE WALL (P.A.) – Physician Assistant, NPI 1043252190
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MRS. JILL SUZANNE WALL (P.A.)
742 MIDDLECREEK RD
SEVIERVILLE, TN 378625047
Phone: (865) 446-8835
Type: Location
917, Springtime Trail, Bays Mountain Estates, Seymour, Blount County, East Tennessee, Tennessee, 37865, United States
SEYMOUR, TN 378653256
Phone: (865) 789-1595
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-03-20 • Largest payer in this snapshot: UCB, Inc. ($45).
Total Amount
$58
General + Research + Ownership
Payments
2
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $45 |
| AstraZeneca Pharmaceuticals LP | $14 |
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: 2005-04-04
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 |
|---|---|---|---|---|
| I20050404000501 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 379 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 200 | 196 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 169 | 163 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 87 | 73 | $0 |
| 81003 | Automated urinalysis test | 57 | 57 | $0 |
Insurance plans in this area (ZIP 37862)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| General Surgery, Vascular Surgery | SC | |
| - | TN | |
| N E U R O L O G Y | CA | |
| Physician Assistant | SC | |
| Nurse Practitioner | TN |
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