VANESSA TRA-MI WALL – Anesthesiology Physician, NPI 1730649351

VANESSA TRA-MI WALL is a healthcare provider. based in South jordan, Utah. specializing in ANESTHESIOLOGY. They hold a License No. 13885175-1205 (UT). The NPI Number for VANESSA TRA-MI WALL is 1730649351

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
VANESSA TRA-MI WALL
NPI
1730649351
Phone
Not provided
Address
11243 S PALISADE VIEW DR
Enumeration Date
20 March 2019
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8013577850
Graduation Year
2023 (3 years ago)
PAC ID
9032648142
Group Practice PAC ID
9032018502
Professional Enrollment ID
I20250117001887
Address ID
UT846043380PR1034X500X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for VANESSA TRA-MI WALL

  • Palisade View Drive, Clover Ridge, South Jordan, Salt Lake County, Utah, 84095, United States

    SOUTH JORDAN, UT 840952239

    Phone:

    Type: Mailing

  • Fannin Street, Houston, Harris County, Texas, 77005-1890, United States

    HOUSTON, TX 770301501

    Phone: (713) 500-7160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($186).

Total Amount

$496

General + Research + Ownership

Payments

5

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2025-01-17

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
I20250117001887IAnesthesiologyUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84095)

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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: 9032018502View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YOR
A N E S T H E S I O L O G YUT
-UT
-UT
A N E S T H E S I O L O G YUT
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What number should I use to identify VANESSA TRA-MI WALL for billing?
Administrative and clinical systems typically use NPI 1730649351 for VANESSA TRA-MI WALL.
Quick check: is VANESSA TRA-MI WALL active?
Public NPPES data shows VANESSA TRA-MI WALL with an active NPI status right now.
What type of care does VANESSA TRA-MI WALL provide?
VANESSA TRA-MI WALL's profile centers on Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to VANESSA TRA-MI WALL?
The directory associates VANESSA TRA-MI WALL with South Jordan, Utah. Check all listed addresses for suites or satellite offices.
Who maintains VANESSA TRA-MI WALL's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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