MR. JOHN HUGH WALLACE JR. FNP-C
NPI 1003296484
Nurse Practitioner - Family in Valdese, NC
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 Billings Clinic, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show John Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lenoir, NC 28645
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1861268245 (North Carolina)
- 313 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, North Carolina enrollment
- 60 clinicians in this Medicare group
Lovell, WY 82431
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1750485793 (Wyoming)
- 50 clinicians in this Medicare group
Red Lodge, MT 59068
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1336119338 (Montana)
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Billings Clinic
Acute Care Hospitals · Billings, MTNorth Big Horn Hospital District
Critical Access Hospitals · Lovell, WYPhysician 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.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for John Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Wallace reassigns Medicare benefits to 4 organizations: Caldwell Memorial Hospital, Inc. (Lenoir, NC), Careconnectmd North Carolina P.C. (Durham, NC), North Big Horn Hospital District (Lovell, WY) and Memorial Hospital Association (Red Lodge, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Wallace accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan 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 Billings Clinic and 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.
# Mr. John Hugh Wallace Jr., FNP-C · NPI 1003296484
Family physician in Valdese, North Carolina. Individual provider, active in the CMS NPPES registry since June 1, 2015.
## Identity
- **NPI:** 1003296484 (Entity type: Individual)
- **Enumerated:** June 1, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 246400 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 319 SPRINGWOOD DR NE, Valdese, NC 28690-8710
- **Phone:** (828) 879-8419
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Caldwell Memorial Hospital, Inc. (NPI 1144402157, Lenoir, NC); Careconnectmd North Carolina P.C. (NPI 1104507441, Durham, NC); North Big Horn Hospital District (NPI 1952379547, Lovell, WY); Memorial Hospital Association (NPI 1184785099, Red Lodge, MT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003296484) · Data from the CMS NPPES public registry.