Miracle Walls, DO
NPI 1619771250 · Student in an Organized Health Care Education/Training Program · Memphis, TN
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miracle Walls, DO is a Student in an Organized Health Care Education/Training Program provider in Memphis, TN (NPI 1619771250).
Provider details
- NPI number
- 1619771250
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-04-02
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Frequently asked questions
- What is Miracle Walls's NPI number?
- Miracle Walls's National Provider Identifier (NPI) is 1619771250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miracle Walls's specialty?
- Miracle Walls is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Miracle Walls located?
- Miracle Walls's practice location on file with NPPES is 920 Madison Ave Ste 447, Memphis, TN 38103-3438.
- What is Miracle Walls's phone number?
- The practice phone number listed in the NPPES registry for Miracle Walls is (901) 287-6756.
- Does Miracle Walls accept Medicare?
- Miracle Walls is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miracle Walls's NPI active?
- Yes — Miracle Walls's NPI (1619771250) is active in the NPPES registry as of the last update on 2025-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.