Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mikayla Wall

Individual provider Physician Assistant · NPI 1265002836

Mikayla Wall is a Physician Assistant in Salem, Virginia. Qualified in 2021, 5 years ago. Practices with Johnson Health Center, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

1802 Braeburn Dr
Salem, VA 24153-7357
Phone: (540) 772-3702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 434 Sunburst Rd, Lynchburg, VA 24501-7249 — (434) 944-2860

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110008117 (VA)

Record details

NPI number1265002836
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Johnson Health Center — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients122
Services billed 151 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Johnson Health Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 42 clinicians in the practice; 12 are shown here.

Other providers in Salem