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Roberta Nicole Wall, PA

NPI 1518398676ActiveIndividual· Physician Assistant· Holland, MI

Physician Assistant (PA) with Spectrum Health Primary Care Partners, practicing in Holland, Michigan. Their prescriptions cost Medicare Part D more than their services did: $13,230 for 517 claims, against $2,869 paid for services in 2024. Novo Nordisk Inc reported $28.16 in payments in 2024, mostly food and beverage. Lists Spectrum Health as a hospital affiliation.

Overview

NPI1518398676
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedNov 27, 2013
Last updated in NPPESFeb 19, 2021
Certified by providerFeb 19, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5601006833MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients25
Services billed53 across 14 procedure codes
Paid by Medicare$2,869

Part D prescriptions in 2024

Prescriptions (claims)517 · 1,335 30-day fills
Patients131
Total drug cost$13,230
Generic share94% of claims

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2024$28.16 · 2 payments from 1 company

Top paying companies in 2024

CompanyAmountPayments
Novo Nordisk Inc$28.162

What the 2024 payments were for

  • Food and Beverage$28.16 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Holland

All 63 physician assistants in Holland · All physician assistants in Michigan