Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kim Marie Wall, FNP-C

Individual provider Family Nurse Practitioner · NPI 1952801052

Mrs. Kim Marie Wall, FNP-C is a Nurse Practitioner in Tucson, Arizona. Qualified in 2017, 9 years ago. Practices with Arizona Medical Specialty Group LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

15883 N Oracle Rd
Tucson, AZ 85739-9106
Phone: (520) 232-2525
Fax: (520) 842-7577
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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 AP10986 (AZ)

Record details

NPI number1952801052
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2018
Last updated in NPPESAugust 9, 2026
Certification dateAugust 9, 2026

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 Arizona Medical Specialty Group Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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