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MELISSA ANN WALLACE CRNP
NPI 1023524501
Nurse Practitioner - Family in State College, PA

Active since December 20, 2017PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
905 UNIVERSITY DR, STATE COLLEGE, PA 16801(814) 238-8418(814) 234-2888 Get Directions Write a Review

NPPES record last updated: November 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2019, Feb 12, 2018, Dec 21, 2017 (3 updates tracked since 2017).

About Melissa Ann Wallace Crnp NPPES

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

MELISSA ANN WALLACE CRNP (NPI 1023524501) is an individual family provider in State College, Pennsylvania, licensed in Pennsylvania (SP018172) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023524501
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA ANN WALLACECredential: CRNP
Location Address905 UNIVERSITY DRState College, PA 16801-6626
Mailing Address905 University DrState College, PA 16801-6626 · (814) 238-8418 · Fax (814) 234-2888
Phone(814) 238-8418
Fax(814) 234-2888
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 20, 2017
Last NPPES UpdateNovember 7, 20193 updates tracked since enumeration
✔ NPI 1023524501 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 PA · SP018172
905 UNIVERSITY DR, State College, PA 16801
Open in Google Maps ↗

Other Names 1

Former Name (1)Melissa Ann Boetel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Melissa Ann Wallace Crnp 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 ID9830458850
PECOS Enrollment IDI20250909001413
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 8

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.

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.
277 services192 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.
191 services143 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.
118 services103 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.
103 services83 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
42 services30 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.
36 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 19

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

GUILLARD INTERNAL MEDICINE INC.
Internal Medicine
905 UNIVERSITY DR, SUITE 1
STATE COLLEGE, PA 16801
Centre County (814) 237-3122
ERIN MARIE GABANY FNP-C
Nurse Practitioner (Family)
905 UNIVERSITY DR, STE 2
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
DR. DANIEL R PITTS MD
Urology
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
LAUREN B DAVIDSON CRNP
Nurse Practitioner (Family)
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
ALLISON M GUILLARD CRNP
Nurse Practitioner (Adult Health)
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
KRISTEN CONNOLLY
Nurse Practitioner (Family)
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
SCOTT GEIGER MD
Urology
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
STEPHEN HARRY PHILLIPS II D.O.
Urology
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418

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 Melissa Wallace's NPI number?

The NPI number for Melissa Wallace is 1023524501. It was assigned to this individual provider in the NPPES registry on December 20, 2017. The provider is also known as Melissa Ann Boetel.

Where is Melissa Wallace located?

Melissa Wallace practices at 905 University Dr, State College, PA 16801. The listed phone number is (814) 238-8418.

What is Melissa Wallace's specialty?

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

Is Melissa Wallace enrolled in Medicare?

Yes. Melissa 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 Melissa Wallace accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Oscar Insurance Company and Sanford Health Plan list Melissa 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 Melissa Wallace affiliated with any hospitals?

According to CMS data, Melissa Wallace is affiliated with Mount Nittany Medical Center, Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Wallace was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.