NANCY V WALLACE NP
NPI 1073613089
Nurse Practitioner - Family in Richmond, VA

Q: What is Nancy Wallace's NPI number?

The NPI number for Nancy Wallace is 1073613089. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Nancy 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 Nancy Wallace was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 September 22, 2006PECOS EnrolledAccepts Medicare Assignment

517 W GRACE ST, RICHMOND, VA 23220(804) 783-2505(804) 783-2514 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nancy V Wallace Np NPPES

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

NANCY V WALLACE NP (NPI 1073613089) is an individual family provider in Richmond, Virginia, licensed in Virginia (0024164436) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1073613089

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNANCY V WALLACECredential: NP

Location Address517 W GRACE STRichmond, VA 23220-4911

Mailing Address517 W Grace StRichmond, VA 23220-4911 · (804) 783-2505 · Fax (804) 783-2514

Phone(804) 783-2505

Fax(804) 783-2514

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateSeptember 22, 2006

Last NPPES UpdateAugust 29, 2007

✔ NPI 1073613089 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 VA · 0024164436

517 W GRACE ST, Richmond, VA 23220

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Other Identifiers 1

Medicare UPINOTH000VA

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

Nancy V Wallace Np 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 ID4385744366

PECOS Enrollment IDI20070703000655

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23220 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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Other Providers at the Same Location NPPES 20

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

MRS. MOLLY JEAN SEAY FNP

Nurse Practitioner (Family)