Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407009418 Individual Practitioner Female Practitioner

Nichoelle Renee Wall , PA

Physician Assistant • Pasco, WA

Professional Overview & Biography Verified Profile Summary

Nichoelle Wall, PA is a registered healthcare professional specializing in Physician Assistant in Pasco, WA. Practice services are available at 5304 N ROAD 68 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of chest, 2 views, new patient 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

5304 N Road 68

Pasco, WA 993018078

Telephone 5095439300
Fax 5095423059
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Pasco, WA (3774 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
23 23 $175.00 $64.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 19 $225.00 $93.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA156832

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.

Practice Associates & Co-Workers

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

18 Associated Practitioners
Dr. Raymond Kania , DO

Family Medicine - Sports Medicine

NPI 1144359571

Doctor of Osteopathic Medicine (D.O.)

Dennis Braudrick , MA

Counselor - Mental Health

NPI 1144661315

Master of Arts

Dr. Jasdip Matharu , MD

Internal Medicine - Pulmonary Disease

NPI 1215137542

Doctor of Medicine (M.D.)

NPI 1275556904

Doctor of Osteopathic Medicine (D.O.)

NPI 1346440302

Doctor of Osteopathic Medicine (D.O.)

Dr. William Hanson , PA-C, DPM

Podiatrist - Primary Podiatric Medicine

NPI 1366574196

Physician Assistant (Certified), Doctor of Podiatric Medicine

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 15, 2019

Registered at 5304 N ROAD 68, PASCO, WA 993018078 (Tel: 5095439300)

NPI Profile Active January 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 25, 2017

Registered at 589 NW 11TH ST, HERMISTON, OR 978386600 (Tel: 5415671717)

📍
Updated Business Mailing Address January 25, 2017

Registered at 589 NW 11TH ST, HERMISTON, OR 978386600 (Tel: 5415671717)

👤
Provider Name / Credentials Updated January 25, 2017

Recorded as NICHOELLE WALL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2017

Physician Assistant (License #PA156832 in OR)

NPI Profile Active November 04, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2008

Registered at 551 HIGHLAND DR, ARCO, ID 83213 (Tel: 2085278206)

📍
Updated Business Mailing Address November 04, 2008

Registered at PO BOX 815, ARCO, ID 832130815 (Tel: 2085278206)

👤
Provider Name / Credentials Updated November 04, 2008

Recorded as NICHOELLE GOURLEY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2008

Physician Assistant (License #PA781 in ID)

🟢
Initial NPI Registration & Enumeration November 04, 2008

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: 1407009418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2008
Last Update: April 15, 2019
Sole Proprietor: No

Mailing Address

589 Nw 11th St

Hermiston, OR 978386600

Phone: 5415671717

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.