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GRACE CHRISTIANNE MANUELA WALLACE WHNP
NPI 1033046248
Nurse Practitioner - Women's Health in Fort Lauderdale, FL

Active since May 04, 2026PECOS Enrolled
1600 W COMMERCIAL BLVD, FORT LAUDERDALE, FL 33309(954) 318-1620 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Christianne Manuela Wallace Whnp NPPES

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

GRACE CHRISTIANNE MANUELA WALLACE WHNP (NPI 1033046248) is an individual women's health provider in Fort Lauderdale, Florida, licensed in Florida (APRN11047255) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1033046248
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameGRACE CHRISTIANNE MANUELA WALLACECredential: WHNP
Location Address1600 W COMMERCIAL BLVDFort Lauderdale, FL 33309-3006
Mailing Address207 Varsity CirAltamonte Springs, FL 32714-2835 · (407) 496-7157
Phone(954) 318-1620
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1033046248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in FL · APRN11047255
1600 W COMMERCIAL BLVD, Fort Lauderdale, FL 33309
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Christianne Manuela Wallace Whnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466917380
PECOS Enrollment IDI20260721005518
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 Grace Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Of Florida Health Center Inc
230 mi
Federally Qualified Health Center (FQHC)
5051 SE 110TH ST
Belleview, FL 34420
  • Reassigned Medicare billing, Florida enrollment
  • 84 clinicians in this Medicare group
NPI 1326442930 (352) 732-6599

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33309 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Grace Wallace's NPI number?

The NPI number for Grace Wallace is 1033046248. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Grace Wallace located?

Grace Wallace practices at 1600 W Commercial Blvd, Fort Lauderdale, FL 33309. The listed phone number is (954) 318-1620.

What is Grace Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Grace Wallace enrolled in Medicare?

Yes. Grace Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Wallace reassigns Medicare benefits to Heart Of Florida Health Center Inc (Belleview, FL). 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 Grace Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Wallace accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Grace 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.

When was this NPI record last updated?

The NPPES record for Grace Wallace was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.