Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Wall

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1972131878

Alyssa Wall is a Nurse Practitioner in Mason, Ohio. Graduated from University of Tennessee, Hsc, College of Medicine in 2021, 5 years ago. Practices with Lindner Center of Hope Professional Associates, a 72-clinician group and accepts Medicare assignment. Licensed in Ohio and Tennessee.

Years since qualifying
5
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
OH, TN
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

4075 Old Western Row Rd
Mason, OH 45040-3104
Phone: (513) 536-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0031874 (OH)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 219471 (TN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 30113 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 511767 (OH)

Record details

NPI number1972131878
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESOctober 18, 2022
Certification dateSeptember 22, 2022
Mailing address4075 Old Western Row Rd, Mason, OH 45040-3104

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lindner Center Of Hope Professional Associates — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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