Active NPI 1467982876 Individual Practitioner Female Practitioner

Kaci Wall , CRNP

Nurse Practitioner • Plains, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Kaci Wall, CRNP is a certified Nurse Practitioner practicing in Plains, PA. With approximately 9 years of clinical experience since completing medical education in 2017, Kaci Wall delivers high-quality medical care to the local community at 220 S RIVER ST.

Kaci Wall is affiliated with Ophelia Medical Group Fl Pa 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, routine ekg using at least 12 leads including interpretation and report, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

220 S River St

Plains, PA 187051137

Telephone 5708248151

Associated Practice Facility / Clinic

🏢 Bone And Joint Associates Facility NPI 1881693869

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Plains, PA

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs Matches City Avg

City Avg: 9.0 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Plains, PA (3955 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wall (9 Years) 9 Yrs

Plains Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

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	76	76	$200.00	$100.04
93000 Routine ekg using at least 12 leads including interpretation and report	53	52	$45.00	$10.97

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	243	230	$200.00	$104.10
93000 Routine ekg using at least 12 leads including interpretation and report	233	219	$45.00	$11.50
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$150.00	$72.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$50.00	$18.75

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	168	164	$200.00	$107.87
93000 Routine ekg using at least 12 leads including interpretation and report	141	139	$45.00	$12.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	88	$168.27	$61.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	90	$185.71	$89.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	80	$325.00	$116.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	48	$219.59	$88.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	54	50	$30.00	$7.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	45	$100.00	$33.32
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$45.00	$13.87
99285 Emergency department visit for life threatening or functioning severity	19	19	$1400.00	$148.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	663	305	$225.30	$86.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	223	$200.00	$87.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	248	211	$324.90	$114.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	222	165	$175.00	$60.61
93000 Routine ekg using at least 12 leads including interpretation and report	149	132	$75.00	$13.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	118	111	$425.00	$167.99
99213 Established patient office or other outpatient visit, typically 15 minutes	39	38	$125.00	$42.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$205.26	$63.59
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$125.00	$61.08
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	32	$30.00	$7.12
99285 Emergency department visit for life threatening or functioning severity	22	22	$1310.00	$146.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	730	328	$225.00	$87.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	360	203	$174.79	$60.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	192	179	$325.00	$114.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	162	$200.00	$86.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	172	162	$424.85	$168.88
93000 Routine ekg using at least 12 leads including interpretation and report	134	124	$75.00	$13.89
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$125.00	$59.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$200.00	$65.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	23	$100.00	$32.92
99285 Emergency department visit for life threatening or functioning severity	24	24	$1180.00	$146.12
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$125.00	$42.94

Medical Specialties & State Licenses

CMS Verified: 2024-07-23

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA XXXXXXX

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Ophelia Medical Group Fl Pa

222 Delaware St, Historic New Castle, DE 197204855

Phone: 2155852144

Ophelia Medical Group Fl Pa

161 Cecil B Moore Ave, Philadelphia, PA 191223243

Phone: 2155852144

Secondary Practice Locations

575 N River St

Wilkes Barre, PA 187640999

Phone: 5708298111

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kevin Carey , DO

Family Medicine

NPI 1477643294

Doctor of Osteopathic Medicine (D.O.)

Jennifer Repshis , PA-C

Physician Assistant - Medical

NPI 1568456754

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 July 23, 2024

Recorded as KACI WALL, CRNP

✅

NPI Profile Active June 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2017

Registered at 220 S RIVER ST, PLAINS, PA 187051137 (Tel: 5708248151)

📍

Updated Business Mailing Address June 18, 2017

Registered at 49 ALLENBERRY DR, HANOVER TOWNSHIP, PA 187061481 (Tel: 5703285800)

👤

Provider Name / Credentials Updated June 18, 2017

Recorded as KACI BIROSIK, CRNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2017

Nurse Practitioner (License #XXXXXXX in PA)

🟢

Initial NPI Registration & Enumeration June 18, 2017

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: 1467982876

Entity Type:

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

Enumeration Date: June 18, 2017

Last Update: July 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

49 Allenberry Dr

Hanover Township, PA 187061481

Phone: 5703285800

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.