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

Mrs. Deanna M Wall, PA

Individual provider Physician Assistant · NPI 1114963022

Mrs. Deanna M Wall, PA is a Physician Assistant in Boston, Massachusetts. Graduated from Duke University School of Medicine in 2002, 24 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
24
Trained at
Duke University School of Medicine
Licensed in
MA, RI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 41 Sanderson Rd, Smithfield, RI 02917-2602 — (401) 349-0366
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 681-4996

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA7360 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA00511 (RI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA00511 (RI)

Record details

NPI number1114963022
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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