Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Staci L Wall, NP

Q: What is the NPI number for Staci Wall?

The National Provider Identifier (NPI) for Staci Wall is 1629068291, a Type 1 (individual) record in the CMS NPPES registry.

Nurse Practitioner in Fort Wayne, IN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629068291

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Registry record

Entity type Individual (Type 1)

Name Staci L Wall

Credential NP

Sex Female

Practice address 7988 W Jefferson Blvd, Fort Wayne, IN, 46804

Phone (260) 432-4400

Fax (260) 969-6898

Enumeration date Oct 25, 2005

Last updated in NPPES Jan 31, 2018

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 28086186 (IN) Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 71003769 (IN) Primary

NP · Nurse Practitioner: An advanced practice registered nurse with graduate training, licensed to diagnose and treat, often with prescriptive authority. About the NP credential

Other identifiers

Identifier	Type	State	Issuer
200338300	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Staci Wall practice?

The practice location on file with NPPES is in Fort Wayne, IN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Staci Wall?

The National Provider Identifier (NPI) for Staci Wall is 1629068291, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Tracy Bellavance Obstetrics & Gynecology Physician · Fort Wayne, IN NPI 1588659064 Keith Davis Obstetrics & Gynecology Physician · Fort Wayne, IN NPI 1235129859 Lucia Fouts Grubbs Obstetrics & Gynecology Physician · Fort Wayne, IN NPI 1679563399 Stephen Coats Gynecology Physician · Fort Wayne, IN NPI 1558351239 Ravi Raju Obstetrics & Gynecology Physician · Fort Wayne, IN NPI 1831189562 Roger Sporre Obstetrics & Gynecology Physician · Fort Wayne, IN NPI 1841280583 Amy Weaver Nurse Practitioner · Fort Wayne, IN NPI 1619967031 Nadine Floyd Colon & Rectal Surgery Physician · Fort Wayne, IN NPI 1821184052

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-01-31.