IndividualActiveAccepts Medicare

Kamika Wall

NPI 1285137380 · Nurse Practitioner · Olive Branch, MS

Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1285137380
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No
License: 905658 (MS)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 24058 (TN)
Physician Assistants & Advanced Practice Nursing Providers
Primary Care Nurse Practitioner363LP2300XLicense 905658 (MS)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 169468 (TN)
Nursing Service Providers
Primary Care Nurse Practitioner363LP2300XLicense 24058 (TN)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 916499 (MS)
Nursing Service Providers

Profile Score

Detailed profile(80/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
8 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
3 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

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.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$830 across 8 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

7040 Wind Stone Blvd Ste 150

Olive Branch, MS 38654-9090

Phone: (662) 874-5828

Fax: (662) 874-5870

Street-level locationGet directions

More MS providers

Mailing address

Po Box 515

Cordova, TN 38088-0515

Additional practice locations (2)

8254 Weatherwood Ln
Cordova, TN 38018-6344
Phone: (901) 352-8350
Fax: (470) 222-2771
1009 Windcross Ct Ste 101
Franklin, TN 37067-2678
Phone: (901) 651-1647

Enumerated: 2018-03-14
Last updated: 2025-09-30
Certified: 2025-09-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.