IMELDA V WALLACE FNP-BC
NPI 1003541095
Nurse Practitioner - Family in El Paso, TX

Q: What is Imelda Wallace's NPI number?

The NPI number for Imelda Wallace is 1003541095. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Q: What is Imelda Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Imelda Wallace was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 22, 2022PECOS EnrolledAccepts Medicare Assignment

11860 VISTA DEL SOL DR STE 150, EL PASO, TX 79936(915) 808-4000 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Imelda V Wallace Fnp-bc NPPES

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

IMELDA V WALLACE FNP-BC (NPI 1003541095) is an individual family provider in El Paso, Texas, licensed in Texas (2022000137) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003541095

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameIMELDA V WALLACECredential: FNP-BC

Location Address11860 VISTA DEL SOL DR STE 150El Paso, TX 79936-6128

Mailing Address11860 Vista Del Sol Dr Ste 150El Paso, TX 79936-6128 · (915) 808-4000

Phone(915) 808-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 22, 2022

NPPES CertifiedJuly 22, 2022

✔ NPI 1003541095 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 TX · 2022000137

11860 VISTA DEL SOL DR STE 150, El Paso, TX 79936

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Accepted Insurance

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

Imelda V Wallace Fnp-bc 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 ID5193185080

PECOS Enrollment IDI20230725000497

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.

Medicare Billing Reassignment

Medicare enrollment records show Imelda Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rio Grande Urology PA

17 mi

Specialist

7420 REMCON CIR, BLDG A
El Paso, TX 79912

Reassigned Medicare billing, New Mexico enrollment
9 clinicians in this Medicare group

NPI 1750416921 (915) 532-8823

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 15

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.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

884 services55 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

321 services266 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

270 services215 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

181 services153 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

124 services29 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

119 services108 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

107 services45 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

73 services71 patients

Detection test for candida species (yeast), amplified probe technique 87481

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

69 services55 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

69 services55 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

69 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

69 services69 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

59 services43 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

17 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320004

Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320018

Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

Sierra Vista Hospital

Critical Access Hospitals · T Or C, NM

OwnershipGovernment - Local

CMS Certification Number321300

Location800 East 9th AvenueT Or C, NM 87901 · Sierra County

Mimbres Memorial Hospital

Critical Access Hospitals · Deming, NM

OwnershipProprietary

CMS Certification Number321309

Location900 W AshDeming, NM 88030 · Luna County

Emergency services

Gila Regional Medical Center

Critical Access Hospitals · Silver City, NM

OwnershipGovernment - Local

CMS Certification Number321311

Location1313 E 32nd StSilver City, NM 88061 · Grant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79936 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

DR. DWAYNE MITCHELL ABOUD MD

Internal Medicine

11860 VISTA DEL SOL DR STE 150
EL PASO, TX 79936

El Paso County (915) 808-4000

HOSPICE DEL NORTE LLC

Hospice Care, Community Based

11860 VISTA DEL SOL DR STE 150
EL PASO, TX 79936

El Paso County (915) 808-4000

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 Imelda Wallace's NPI number?

The NPI number for Imelda Wallace is 1003541095. It was assigned to this individual provider in the NPPES registry on July 22, 2022.

Where is Imelda Wallace located?

Imelda Wallace practices at 11860 Vista Del Sol Dr Ste 150, El Paso, TX 79936. The listed phone number is (915) 808-4000.

What is Imelda Wallace's specialty?

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

Is Imelda Wallace enrolled in Medicare?

Yes. Imelda 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 organization bills Medicare for Imelda Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imelda Wallace reassigns Medicare benefits to Rio Grande Urology PA (El Paso, TX). The 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 Imelda Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Imelda Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas list Imelda 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 Imelda Wallace affiliated with any hospitals?

According to CMS data, Imelda Wallace is affiliated with Gerald Champion Regional Medical Center, Memorial Medical Center, Sierra Vista Hospital, Mimbres Memorial Hospital and Gila Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Imelda Wallace was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.