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MR. WALLACE DALE FOX JR. APRN
NPI 1043731615
Nurse Practitioner - Psychiatric/Mental Health in Clarksville, IN

Active since July 04, 2017PECOS EnrolledAccepts Medicare Assignment
1400 MAIN ST UNIT 177, CLARKSVILLE, IN 47129(812) 946-2674(844) 832-9625 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 14, 2023, Dec 6, 2023, Jul 4, 2017 (3 updates tracked since 2017).

About Mr. Wallace Dale Fox Jr. Aprn NPPES

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

MR. WALLACE DALE FOX JR. APRN (NPI 1043731615) is an individual psychiatric/mental health provider in Clarksville, Indiana, licensed in Indiana (71007238A) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043731615
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. WALLACE DALE FOX JR.Credential: APRN
Location Address1400 MAIN ST UNIT 177Clarksville, IN 47129-3108
Mailing Address1400 Main St Unit 177Clarksville, IN 47129-3108 · (812) 946-2674
Phone(812) 946-2674
Fax(844) 832-9625
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 4, 2017
Last NPPES UpdateDecember 19, 20233 updates tracked since enumeration
NPPES CertifiedDecember 19, 2023
✔ NPI 1043731615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71007238A
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71007238A (IN)
1400 MAIN ST UNIT 177, Clarksville, IN 47129
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Accepted Insurance

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

Mr. Wallace Dale Fox Jr. Aprn 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 ID4981978525
PECOS Enrollment IDI20170921000431
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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
310 services50 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.
169 services132 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
91 services70 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.
47 services47 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
45 services39 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
41 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47129 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$775.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MINDBRANCH MENTAL HEALTH SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
1400 MAIN ST UNIT 177
CLARKSVILLE, IN 47129
Clark County (812) 946-2674

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 Wallace Fox's NPI number?

The NPI number for Wallace Fox is 1043731615. It was assigned to this individual provider in the NPPES registry on July 4, 2017.

Where is Wallace Fox located?

Wallace Fox practices at 1400 Main St Unit 177, Clarksville, IN 47129. The listed phone number is (812) 946-2674.

What is Wallace Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Wallace Fox enrolled in Medicare?

Yes. Wallace Fox 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 Wallace Fox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list Wallace Fox 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 Wallace Fox was last updated on December 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.