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MR. JOHN HUGH WALLACE JR. FNP-C
NPI 1003296484
Nurse Practitioner - Family in Valdese, NC

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment
319 SPRINGWOOD DR NE, VALDESE, NC 28690(828) 879-8419 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Hugh Wallace Jr. Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN HUGH WALLACE JR. FNP-C (NPI 1003296484) is an individual family provider in Valdese, North Carolina, licensed in North Carolina (246400) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with North Big Horn Hospital District, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003296484
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN HUGH WALLACE JR.Credential: FNP-C
Location Address319 SPRINGWOOD DR NEValdese, NC 28690-8710
Mailing Address319 Springwood Dr NeValdese, NC 28690-8710
Phone(828) 879-8419
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 1, 2015
Last NPPES UpdateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1003296484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 246400
319 SPRINGWOOD DR NE, Valdese, NC 28690
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John Hugh Wallace Jr. Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446567127
PECOS Enrollment IDI20220318001892
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
140 services133 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
111 services95 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
92 services29 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
80 services74 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services40 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
33 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Big Horn Hospital District

Critical Access Hospitals · Lovell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531309
Location1115 Lane 12Lovell, WY 82431 · Big Horn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28690 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
1 supplier11 claims11 services$11.33 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier32 claims32 services$21.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL NEAL DNP, FNP
Nurse Practitioner (Family)
319 SPRINGWOOD DR NE
VALDESE, NC 28690
Burke County (828) 879-8419
MICHAELA ELIZABETH FARRELL
Nurse Practitioner (Family)
319 SPRINGWOOD DR NE
VALDESE, NC 28690
Burke County (828) 879-8419
DR. DANIEL WAKSMAN D.O.
Emergency Medicine
319 SPRINGWOOD DR NE
VALDESE, NC 28690
Burke County (419) 678-5101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Wallace's NPI number?

The NPI number for John Wallace is 1003296484. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is John Wallace located?

John Wallace practices at 319 Springwood Dr NE, Valdese, NC 28690. The listed phone number is (828) 879-8419.

What is John Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Wallace enrolled in Medicare?

Yes. John Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Wallace accept?

Health plans from Blue Cross Blue Shield of Wyoming list John Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Wallace affiliated with any hospitals?

According to CMS data, John Wallace is affiliated with North Big Horn Hospital District.

When was this NPI record last updated?

The NPPES record for John Wallace was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.