JALYN WALL (CFNP) – Nurse Practitioner, NPI 1073579454

JALYN WALL (CFNP) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials CFNP. They hold a License No. AP108953 (TX). The NPI Number for JALYN WALL (CFNP) is 1073579454

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JALYN WALL (CFNP)
NPI
1073579454
Phone
(806) 792-1050
Address
4004 82ND ST STE G
Enumeration Date
25 April 2006
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067921050
Graduation Year
1998 (28 years ago)
PAC ID
9931164852
Group Practice PAC ID
9830003631
Professional Enrollment ID
I20041119000747
Address ID
TX794232065LU4004XSTXX303

Contacts

Secure Messaging
jalyn.wall@direct.myteamcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JALYN WALL (CFNP)

  • 4004 82ND ST STE G

    LUBBOCK, TX 794232065

    Phone: (806) 792-1050

    Fax: (806) 795-1965

    Type: Location

  • City Bank Parkway, Lubbock, Texas, 79414, United States

    LUBBOCK, TX 794073545

    Phone: (806) 761-0333

    Fax: (806) 785-7685

    Type: Mailing

  • Texas Tech Physicians of Lubbock - Southwest, 4004, 82nd Street, Lubbock, Texas, 79423, United States

    LUBBOCK, TX 794232065

    Phone: (806) 792-1050

    Fax: (806) 795-1965

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 170 Open Payments records for all available years, with a total value of $3,663.

Total Amount is formed as General ($3,663) + Research ($0) + Ownership ($0) = $3,663.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Exeltis, USA Inc. ($683).

Total Amount

$3,663

General + Research + Ownership

Payments

170

Total payment records

General Amount

$3,663

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2004-11-19

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
I20041119000747INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15274$0
36415Insertion of needle into vein for collection of blood sample10567$0
80053Blood test, comprehensive group of blood chemicals9967$0
84443Blood test, thyroid stimulating hormone (tsh)6054$0
80061Blood test, lipids (cholesterol and triglycerides)5751$0
View full utilization report →

Insurance plans in this area (ZIP 79423)

Loading plans...

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: 9830003631View full group profile
NameSpecialtyState
N E U R O S U R G E R YTX
Nurse PractitionerTX
Family PracticeTX
Gastroenterology, Internal MedicineTX
Internal MedicineTX
General PracticeTX
Nurse PractitionerTX
Physician AssistantTX
-TX
Nurse PractitionerTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify JALYN WALL (CFNP) with an NPI only?
You can start verification with NPI 1073579454 for JALYN WALL (CFNP), then check state licensing separately.
Is JALYN WALL (CFNP) listed as active for patients and plans?
The listing shows JALYN WALL (CFNP) as active in the NPI system.
What is JALYN WALL (CFNP) best known for clinically?
Directory data describes JALYN WALL (CFNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JALYN WALL (CFNP) list a practice location?
Patients near Lubbock, Texas may find JALYN WALL (CFNP) in results; validate coverage separately.
Why does JALYN WALL (CFNP) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

Centennial Bank, 904, Avenue O, Lubbock, Texas, 79401, United States
NPI: 1992708705

ALISON GIBSON (NP)

Nurse Practitioner
3514, 21st Street, Lubbock, Lubbock County, Texas, 79410, United States
NPI: 1619950037

ROSA LEES (NP)

Nurse Practitioner
North Loop 289, North By Northwest, Lubbock, Texas, 79416, United States
NPI: 1245213669

ELAINE SIMKO (NP)

Nurse Practitioner
Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States
NPI: 1710963186

NEILL M. CARTER (FNP)

Nurse Practitioner
PO BOX 16626
NPI: 1023088705

EMALIE ENDSLEY (FNP)

Nurse Practitioner
Bodyscapes Medical Spa, 7008, Indiana Avenue, Lubbock, Texas, 79413, United States
NPI: 1962461897

ROBERT MARTINEZ (FNP)

Family Nurse Practitioner
City Bank, 5219, City Bank Parkway, Lubbock, Texas, 79407, United States
NPI: 1306806542
3407, 60th Street, Melonie Park, Lubbock, Lubbock County, Texas, 79413, United States
NPI: 1104886936