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

Susan Wall

Individual provider Adult Health Nurse Practitioner · NPI 1508132291

Susan Wall is a Nurse Practitioner in Paoli, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2012

Practice location Address checks out

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone: (484) 565-1600
Fax: (610) 647-2006
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP011945 (PA)

Record details

NPI number1508132291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2012
Last updated in NPPESOctober 22, 2015
Mailing address255 W Lancaster Ave, Paoli, PA 19301-1763

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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