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

Kaci Wall, CRNP

Individual provider Nurse Practitioner · NPI 1467982876

Kaci Wall, CRNP is a Nurse Practitioner in Plains, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Ophelia Medical Group Fl PA, a 100-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

220 S River St
Plains, PA 18705-1137
Phone: (570) 824-8151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 575 N River St, Wilkes Barre, PA 18764-0999 — (570) 829-8111

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence XXXXXXX (PA)

Record details

NPI number1467982876
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJune 18, 2017
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address49 Allenberry Dr, Hanover Township, PA 18706-1481

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ophelia Medical Group Fl Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare