LISA WALLACE CNP
NPI 1013349000
Nurse Practitioner - Acute Care in Greenville, SC

Q: What is Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1013349000. It was assigned to this individual provider in the NPPES registry on August 1, 2013. The provider is also known as Lisa Marie Wallace Acnp.

Q: What is Lisa Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wallace was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 01, 2013PECOS EnrolledAccepts Medicare Assignment

200 PATEWOOD DR STE B300, GREENVILLE, SC 29615(864) 454-4200(864) 454-4205 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Wallace Cnp NPPES

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

LISA WALLACE CNP (NPI 1013349000) is an individual acute care provider in Greenville, South Carolina, licensed in South Carolina (28748) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Baptist Easley Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1013349000

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameLISA WALLACECredential: CNP

Location Address200 PATEWOOD DR STE B300Greenville, SC 29615-6338

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 454-4200

Fax(864) 454-4205

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 1, 2013

Last NPPES UpdateSeptember 13, 2024

NPPES CertifiedSeptember 13, 2024

✔ NPI 1013349000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in SC · 28748✔ Licensed in OH · NP-14866

200 PATEWOOD DR STE B300, Greenville, SC 29615

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Other Names 1

Other Name (5)Lisa Marie Wallace Acnp

Secondary Practice Location 1

Location 118101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 476-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Lisa Wallace Cnp 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 ID2466695648

PECOS Enrollment IDI20240919003189

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 2

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.

Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296

This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.

53 services53 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.

34 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420015

Location200 Fleetwood DriveEasley, SC 29640 · Pickens County

Emergency services

Prisma Health Greer Memorial Hospital

Acute Care Hospitals · Spartanburg, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420033

Location1413 John B White Sr Blvd Suite DSpartanburg, SC 29306 · Spartanburg County

Emergency services Birthing friendly

Prisma Health Hillcrest Hospital

Acute Care Hospitals · Simpsonville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420037

Location741 South East Main StreetSimpsonville, SC 29681 · Greenville County

Emergency services

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Prisma Health Patewood Hospital

Acute Care Hospitals · Greenville, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420102

Location175 Patewood DriveGreenville, SC 29615 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 16

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

AZIM EBUN SURKA MD

Internal Medicine (Pulmonary Disease)