DR. JENNA ROSE WALLACE DNP, APRN, CNP
NPI 1093236572
Nurse Practitioner - Family in West Fargo, ND

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment
1220 SHEYENNE ST, WEST FARGO, ND 58078(701) 234-4445(701) 234-4456 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jenna Rose Wallace Dnp, Aprn, Cnp NPPES

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

DR. JENNA ROSE WALLACE DNP, APRN, CNP (NPI 1093236572) is an individual family provider in West Fargo, North Dakota, licensed in North Dakota (R37792) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093236572
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JENNA ROSE WALLACECredential: DNP, APRN, CNP
Location Address1220 SHEYENNE STWest Fargo, ND 58078-2637
Mailing Address3122 46th Ave SFargo, ND 58104-6658 · (701) 520-1852
Fax(701) 234-4456
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 5, 2017
NPI 1093236572 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 ND · R37792
1220 SHEYENNE ST, West Fargo, ND 58078

Accepted 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

Dr. Jenna Rose Wallace Dnp, Aprn, 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 ID2769755990
PECOS Enrollment IDI20170908002532
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 5

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.
135 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
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.
55 services43 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.
38 services36 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.
21 services17 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims29 services$5.55 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$39.44 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 20

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

Nurse Practitioner (Family)
1220 SHEYENNE ST
WEST FARGO, ND 58078
Social Worker (Clinical)
1220 SHEYENNE ST
WEST FARGO, ND 58078
Family Medicine
1220 SHEYENNE ST
WEST FARGO, ND 58078
Obstetrics & Gynecology
1220 SHEYENNE ST
WEST FARGO, ND 58078
Pediatrics
1220 SHEYENNE ST
WEST FARGO, ND 58078
Family Medicine
1220 SHEYENNE ST
WEST FARGO, ND 58078
Family Medicine
1220 SHEYENNE ST
WEST FARGO, ND 58078
Pediatrics
1220 SHEYENNE ST
WEST FARGO, ND 58078

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 Jenna Wallace's NPI number?

The NPI number for Jenna Wallace is 1093236572. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Jenna Wallace located?

Jenna Wallace practices at 1220 Sheyenne St, West Fargo, ND 58078. The listed phone number is (701) 234-4445.

What is Jenna Wallace's specialty?

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

Is Jenna Wallace enrolled in Medicare?

Yes. Jenna 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 Jenna Wallace accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Jenna 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 Jenna Wallace affiliated with any hospitals?

According to CMS data, Jenna Wallace is affiliated with Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Jenna Wallace was last updated on July 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.