Practitioners Without Walls, LLC
NPI 1063088102 · Primary Care Nurse Practitioner · Scottsdale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Practitioners Without Walls, LLC is a Primary Care Nurse Practitioner organization in Scottsdale, AZ (NPI 1063088102).
Provider details
- NPI number
- 1063088102
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Funmi Olukoya, Ceo(832) 633-3186
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
- Migrant Health Clinic/Center261QM1000X
Ambulatory Health Care Facilities
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 21802 Silverpeak CtKaty, TX 77450-5622Phone: (281) 896-0888
Registry dates
- Enumerated
- 2021-05-30
- Last updated
- 2025-01-04
- Certified
- 2025-01-04
Frequently asked questions
- What is Practitioners Without Walls, LLC's NPI number?
- Practitioners Without Walls, LLC's National Provider Identifier (NPI) is 1063088102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Practitioners Without Walls, LLC?
- Practitioners Without Walls, LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Practitioners Without Walls, LLC located?
- Practitioners Without Walls, LLC's practice location on file with NPPES is 15333 N Pima Rd Ste 305, Scottsdale, AZ 85260-2717.
- What is Practitioners Without Walls, LLC's phone number?
- The practice phone number listed in the NPPES registry for Practitioners Without Walls, LLC is (832) 633-3186.
- Does Practitioners Without Walls, LLC accept Medicare?
- Practitioners Without Walls, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Practitioners Without Walls, LLC?
- The authorized official listed on Practitioners Without Walls, LLC's NPPES record is Funmi Olukoya, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Practitioners Without Walls, LLC's NPI active?
- Yes — Practitioners Without Walls, LLC's NPI (1063088102) is active in the NPPES registry as of the last update on 2025-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.