Christa J Wall
ADVANCED CARE CONNECTIONS LLC


Address: 3010 Independence Dr, Fort Wayne, IN 46808-1328
Phone: 2607395821

Christa J Wall (NPI# 1588949762, PAC ID# 9537333844) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1588949762
PAC ID by PECOS 9537333844
Professional Enrollment ID I20111123000452
Full Name Christa J Wall
Organization Legal Name ADVANCED CARE CONNECTIONS LLC
Address 3010 Independence Dr
Fort Wayne
IN 46808-1328
Phone Number 2607395821
Gender F
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5799080511
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150021 PARKVIEW REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
3010 Independence Dr, Fort Wayne, IN 46808-1328 2607395821 ADVANCED CARE CONNECTIONS LLC

Organization Information

Organization Legal Name ADVANCED CARE CONNECTIONS LLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Linzie Howard Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Nikki Joy Mann Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Melissa Sue Ottenweller Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328

Office Location

Street Address 3010 INDEPENDENCE DR
City FORT WAYNE
State IN
Zip 46808-1328

Physicians in the same location

Name Specialty Organization Address
Linzie Howard Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Nikki Joy Mann Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328
Melissa Sue Ottenweller Nurse Practitioner Advanced Care Connections LLC 3010 Independence Dr, Fort Wayne, IN 46808-1328

Physicians in the same zip code

Name Specialty Organization Address
Tammy L. Truijens Psychologist, Clinical The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Kelly Ann Baumgarden Psychologist, Clinical The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Scott J Mcalister Clinical Social Worker The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Amber Marie Butler Clinical Social Worker The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Rachel E Roberts Clinical Social Worker The Otis R Bowen Center for Human Services Inc 2100 Goshen Rd, Fort Wayne, IN 46808-1493
Danielle F Teel Optometry Teel Family Eye Care 5110 Value Dr, Fort Wayne, IN 46808-4048

Competitor

Search similar physicians

City FORT WAYNE
Zip Code 46808
Specialty NURSE PRACTITIONER
City + Specialty FORT WAYNE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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