JALYN WALL (CFNP) – Nurse Practitioner, NPI 1073579454
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
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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
| Company | Amount |
|---|---|
| Exeltis, USA Inc. | $683 |
| ABBVIE INC. | $586 |
| PFIZER INC. | $504 |
| Lilly USA, LLC | $273 |
| GlaxoSmithKline, LLC. | $248 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041119000747 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 152 | 74 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 105 | 67 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 99 | 67 | $0 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 60 | 54 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 57 | 51 | $0 |
Insurance plans in this area (ZIP 79423)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Gastroenterology, Internal Medicine | TX | |
| Internal Medicine | TX | |
| General Practice | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX | |
| Nurse Practitioner | TX |
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