TRINITY WALLS (NP) – Nurse Practitioner, NPI 1053970558
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for TRINITY WALLS (NP)
PO BOX 1014
MATTESON, IL 604434014
Phone:
Type: Mailing
Indianapolis Boulevard, Woodmar, Hammond, Lake County, Indiana, 46324, United States
HAMMOND, IN 463242220
Phone: (219) 845-0848
Type: Location
139 Centre St Ph 120
New York, NY 100134559
Phone: (888) 731-8994
Type: Location
111 N Orange Ave Ste 800
Orlando, FL 328012381
Phone: (888) 731-8994
Type: Location
111 W JACKSON BLVD STE 1700
CHICAGO, IL 606043597
Phone: (888) 731-8994
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $672.
Total Amount is formed as General ($672) + Research ($0) + Ownership ($0) = $672.
Last reported payment date: 2023-10-16 • Largest payer in this snapshot: Novo Nordisk Inc ($169).
Total Amount
$672
General + Research + Ownership
Payments
27
Total payment records
General Amount
$672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $169 |
| Sumitomo Pharma America, Inc. | $132 |
| ABBVIE INC. | $90 |
| Astellas Pharma US Inc | $89 |
| Agile Therapeutics, Inc. | $85 |
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: 2023-09-22
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 |
|---|---|---|---|---|
| I20230922002384 | I | Nurse Practitioner | IL | 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 60443)
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