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

Mrs. Andrea S. Wall, ACNP

Individual provider Plastic Surgery Registered Nurse · NPI 1043284292

Mrs. Andrea S. Wall, ACNP is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2005, 21 years ago. Practices with Ahs Oklahoma Physician Group LLC, a 315-clinician group and accepts Medicare assignment. Licensed in New Mexico and Oklahoma.

Years since qualifying
21
Licensed in
NM, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

10109 E 79th St
Tulsa, OK 74133-4564
Phone: (918) 286-5131
Fax: (918) 249-7532
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence R0086862 (OK)
Plastic Surgery Registered Nurse Taxonomy 163WS0121X · Licence R31459 (NM)

Record details

NPI number1043284292
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESFebruary 22, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ahs Oklahoma Physician Group Llc — 315 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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