MRS. NICHOLE WALLACE PA
NPI 1114379708
Physician Assistant - Medical in Brooklyn, NY
About Mrs. Nichole Wallace Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICHOLE WALLACE PA (NPI 1114379708) is an individual medical provider in Brooklyn, New York and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ocoee, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Nichole Wallace Pa 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.
Areas of Expertise CMS Part B claims 4
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.
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.
BROOKLYN, NY 11206
BROOKLYN, NY 11206
BROOKLYN, NY 11206
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 Nichole Wallace's NPI number?
The NPI number for Nichole Wallace is 1114379708. It was assigned to this individual provider in the NPPES registry on July 6, 2016.
Where is Nichole Wallace located?
Nichole Wallace practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 312-2312.
What is Nichole Wallace's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nichole Wallace enrolled in Medicare?
Yes. Nichole 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.
When was this NPI record last updated?
The NPPES record for Nichole Wallace was last updated on August 18, 2023. 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.