Erica Wall, PMHNP
Nurse Practitioner, Psych/Mental Health in Chatham, NY. Individual provider (NPI-1).
NPI number1083152136
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1083152136
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Erica Wall
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2017
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 404981 | NY | Yes |
Practice location
23 High StChatham, NY 12037-1127
Phone 518-364-5854
Mailing address
23 High StChatham, NY 12037-1127
Phone 518-364-5854
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