MRS. AMY M WALLACE APRN, NNP-BC
NPI 1104178052
Nurse Practitioner - Neonatal in Lexington, KY
About Mrs. Amy M Wallace Aprn, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMY M WALLACE APRN, NNP-BC (NPI 1104178052) is an individual neonatal provider in Lexington, Kentucky, licensed in Kentucky (3007721) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Mrs. Amy M Wallace Aprn, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40536
LEXINGTON, KY 40536
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 Amy Wallace's NPI number?
The NPI number for Amy Wallace is 1104178052. It was assigned to this individual provider in the NPPES registry on October 2, 2012.
Where is Amy Wallace located?
Amy Wallace practices at 800 Rose St Fl 4, Lexington, KY 40536. The listed phone number is (859) 218-2581.
What is Amy Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Amy Wallace enrolled in Medicare?
Yes. Amy Wallace is registered in the Medicare PECOS enrollment system.
What insurance does Amy Wallace accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Amy 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 Amy Wallace was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Amy M Wallace, APRN, NNP-BC · NPI 1104178052
Neonatal physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since October 2, 2012.
## Identity
- **NPI:** 1104178052 (Entity type: Individual)
- **Enumerated:** October 2, 2012
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 3007721 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 ROSE ST FL 4, Lexington, KY 40536-0001
- **Phone:** (859) 218-2581 · **Fax:** (859) 257-1632
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 6, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104178052) · Data from the CMS NPPES public registry.