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

Kassidy B Wall, FNP

Individual provider Family Nurse Practitioner · NPI 1154845147

Kassidy B Wall, FNP is a Nurse Practitioner in Covington, Louisiana. Qualified in 2018, 8 years ago. Practices with Belle Chasse Physician Services LLC, a 261-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1970 N Highway 190
Covington, LA 70433-5364
Phone: (985) 400-5988
Fax: (985) 867-3644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP09476 (LA)

Record details

NPI number1154845147
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing addressPo Box 3370, Covington, LA 70434-3370

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Belle Chasse Physician Services Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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