STACI L WALL (NP) – Nurse Practitioner, NPI 1629068291

STACI L WALL (NP) is a healthcare provider. based in Fort wayne, Indiana. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 28086186 (IN). The NPI Number for STACI L WALL (NP) is 1629068291

Main info

Female
Name
STACI L WALL (NP)
NPI
1629068291
Phone
(260) 432-4400
Address
2518 E DUPONT RD
Enumeration Date
25 October 2005
Last Update Date
31 January 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for STACI L WALL (NP)

  • 2518, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States

    FORT WAYNE, IN 468251675

    Phone: (260) 432-4400

    Fax: (260) 969-6898

    Type: Mailing

  • West Jefferson Boulevard, Fort Wayne, Allen County, Indiana, 46814, United States

    FORT WAYNE, IN 468044140

    Phone: (260) 432-4400

    Fax: (260) 969-6898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 46825)

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Reviews

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Frequently asked questions

What NPI should I save for STACI L WALL (NP)?
Save NPI 1629068291 if you need a stable reference for STACI L WALL (NP).
Is STACI L WALL (NP) currently active in the NPI registry?
CMS-published data lists STACI L WALL (NP) as an active registrant.
What kind of provider is STACI L WALL (NP)?
The page reflects Nurse Practitioner for STACI L WALL (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for STACI L WALL (NP)?
The page summarizes Fort Wayne, Indiana for STACI L WALL (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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