Active NPI 1518398676 Individual Practitioner Female Practitioner

Roberta Nicole Wall , PA

Physician Assistant • Holland, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Roberta Wall, PA is a certified Physician Assistant practicing in Holland, MI. With approximately 13 years of clinical experience since completing medical education in 2013, Roberta Wall delivers high-quality medical care to the local community at 588 E LAKEWOOD BLVD.

Roberta Wall is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

588 E Lakewood Blvd
1st Floor

Holland, MI 494242023

Telephone 6164945800

Associated Practice Facility / Clinic

🏢 Spectrum Health Hospitals Facility NPI 1952409815

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Holland, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs Matches City Avg

City Avg: 13.0 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

60 Specialists

Practicing in Holland, MI (7057 Statewide)

Telehealth Adoption Rate

11.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (13 Years) 13 Yrs

Holland Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$157.00	$76.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$155.00	$60.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$234.00	$28.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$152.00	$69.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$222.00	$81.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$230.00	$39.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	21	$151.46	$52.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$219.85	$80.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$216.17	$68.51
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$148.67	$51.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$287.85	$83.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	22	$143.76	$61.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$211.65	$81.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$220.36	$96.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$142.00	$57.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$208.00	$81.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$216.00	$95.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$139.89	$58.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$204.71	$87.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$210.75	$93.99

Medical Specialties & State Licenses

CMS Verified: 2021-02-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006833

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

588 E Lakewood Blvd Fl, Holland, MI 494242023

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Laura Gerencer , FNP-BC

Nurse Practitioner - Family

NPI 1013429323

Family Nurse Practitioner (Board Certified)

Jacob Lepard , PA-C

Physician Assistant

NPI 1023657178

Physician Assistant (Certified)

Dr. Yelena Isayenko , MD

Family Medicine

NPI 1043505399

Doctor of Medicine (M.D.)

Elise Jones , PA-C

Physician Assistant

NPI 1265978134

Physician Assistant (Certified)

Dr. Kaitlyn Craddock , PharmD

Pharmacist - Ambulatory Care

NPI 1306322458

Doctor of Pharmacy (Pharm.D.)

Mallory Smith , PA-C

Physician Assistant

NPI 1346902038

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

👤

Provider Name / Credentials Updated January 13, 2020

Recorded as ROBERTA WALL, PA

✅

NPI Profile Active November 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2015

Registered at 588 E LAKEWOOD BLVD, 1ST FLOOR, HOLLAND, MI 494242023 (Tel: 6164945910)

📍

Updated Business Mailing Address November 11, 2015

Registered at 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 495032560

👤

Provider Name / Credentials Updated November 11, 2015

Recorded as ROBERTA WALL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2015

Physician Assistant (License #5601006833 in MI)

🟢

Initial NPI Registration & Enumeration November 27, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518398676

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 27, 2013

Last Update: February 19, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Michigan St Ne, Mc845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.