Monument Health Wall Clinic – Rural Health Clinic/Center, NPI 1457730673

Monument Health Wall Clinic is a healthcare provider. based in Minneapolis, Minnesota. specializing in Rural Health Clinic/Center. The NPI Number for Monument Health Wall Clinic is 1457730673

Main info

Organization
Name
Monument Health Wall Clinic
NPI
1457730673
Phone
(605) 279-2149
Address
PO BOX 860013
Authorized Official
JOHN PIERCE MONUMENT HEALTH PRESIDENT
Enumeration Date
20 May 2015
Last Update Date
16 March 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness80
Years active:11State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Monument Health Wall Clinic

  • PO BOX 860013

    MINNEAPOLIS, MN 554860013

    Phone: (605) 279-2149

    Fax: (605) 279-1027

    Type: Mailing

  • 112 7TH AVENUE

    WALL, SD 577900001

    Phone: (605) 279-2149

    Fax: (605) 279-1027

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-03-08

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
O20160308000849ORural Health ClinicSDTBD

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 55486)

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Reviews

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Frequently asked questions

What federal number belongs to Monument Health Wall Clinic?
The federal identifier for Monument Health Wall Clinic is NPI 1457730673.
Is Monument Health Wall Clinic currently active in the NPI registry?
CMS-published data lists Monument Health Wall Clinic as an active registrant.
What does Monument Health Wall Clinic treat or focus on?
Patients typically see Monument Health Wall Clinic under the specialty Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Does Monument Health Wall Clinic practice in Minnesota?
You will see Minneapolis, Minnesota on file for Monument Health Wall Clinic alongside any extra practice locations.
How can I contact Monument Health Wall Clinic?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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