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MRS. BRENDA WALLACE PA-C
NPI 1104130426
Physician Assistant in Rockwall, TX

Active since July 28, 2010PECOS EnrolledAccepts Medicare Assignment
3142 HORIZON RD STE 209, ROCKWALL, TX 75032(972) 771-2018(972) 772-4654 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2019, Mar 6, 2018 (2 updates tracked since 2018).

About Mrs. Brenda Wallace Pa-c NPPES

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

MRS. BRENDA WALLACE PA-C (NPI 1104130426) is an individual physician assistant in Rockwall, Texas, licensed in Texas (PA06792) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104130426
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. BRENDA WALLACECredential: PA-C
Location Address3142 HORIZON RD STE 209Rockwall, TX 75032-7802
Mailing Address3142 Horizon Rd Ste 209Rockwall, TX 75032-7802 · (972) 771-2018 · Fax (972) 772-4654
Phone(972) 771-2018
Fax(972) 772-4654
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 28, 2010
Last NPPES UpdateSeptember 9, 20192 updates tracked since enumeration
✔ NPI 1104130426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA06792
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3142 HORIZON RD STE 209, Rockwall, TX 75032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Mrs. Brenda Wallace Pa-c 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 ID4981683133
PECOS Enrollment IDI20101116000997
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 11

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.
239 services147 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.
148 services148 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
112 services86 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.
106 services68 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
37 services27 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450352
Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Rockwall

Acute Care Hospitals · Rockwall, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670044
Location3150 Horizon RoadRockwall, TX 75032 · Rockwall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75032 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 3

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$5.20 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers19 claims1,950 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers17 claims17 services$24.51 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 4

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

DESENCE A DIAZ-DOOLIN
Advanced Practice Midwife
3142 HORIZON RD STE 209
ROCKWALL, TX 75032
Rockwall County (469) 935-5792
SHAWN HOLLOWAY FNP
Nurse Practitioner (Family)
3142 HORIZON RD STE 209
ROCKWALL, TX 75032
Rockwall County (972) 771-2018
ELIZABETH BELLOMY MSN, FNP-C
Nurse Practitioner (Family)
3142 HORIZON RD STE 209
ROCKWALL, TX 75032
Rockwall County (972) 771-2018
DR. EMILY MCCULLAR M.D.
Family Medicine
3142 HORIZON RD STE 209
ROCKWALL, TX 75032
Rockwall County (972) 771-2018

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 Brenda Wallace's NPI number?

The NPI number for Brenda Wallace is 1104130426. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Brenda Wallace located?

Brenda Wallace practices at 3142 Horizon Rd Ste 209, Rockwall, TX 75032. The listed phone number is (972) 771-2018.

What is Brenda Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brenda Wallace enrolled in Medicare?

Yes. Brenda 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 Brenda Wallace accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brenda 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 Brenda Wallace affiliated with any hospitals?

According to CMS data, Brenda Wallace is affiliated with Hunt Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe and Texas Health Presbyterian Hospital Rockwall.

When was this NPI record last updated?

The NPPES record for Brenda Wallace was last updated on September 9, 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.