STEPHANIE RUTH WALLACE APRN-NP
NPI 1124087879
Nurse Practitioner - Psychiatric/Mental Health in Athens, GA
About Stephanie Ruth Wallace Aprn-np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE RUTH WALLACE APRN-NP (NPI 1124087879) is an individual psychiatric/mental health provider in Athens, Georgia, licensed in Georgia (APRN-NP136273) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stephanie Ruth Wallace Aprn-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.
Medicare Billing Reassignments
2Medicare enrollment records show Stephanie Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 114 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 410 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
ATHENS, GA 30605
ATHENS, GA 30605
ATHENS, GA 30605
ATHENS, GA 30605
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 Stephanie Wallace's NPI number?
The NPI number for Stephanie Wallace is 1124087879. It was assigned to this individual provider in the NPPES registry on March 21, 2006.
Where is Stephanie Wallace located?
Stephanie Wallace practices at 745 S Milledge Ave Ste 1A, Athens, GA 30605. The listed phone number is (706) 498-9560.
What is Stephanie Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stephanie Wallace enrolled in Medicare?
Yes. Stephanie 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.
Which organizations bill Medicare for Stephanie Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wallace reassigns Medicare benefits to 2 organizations: St. Mary's Medical Group, Inc. (Athens, GA) and Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Wallace accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Stephanie 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 Stephanie Wallace affiliated with any hospitals?
According to CMS data, Stephanie Wallace is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Stephanie Wallace was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Stephanie Ruth Wallace, APRN-NP · NPI 1124087879
Psychiatric/Mental Health physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1124087879 (Entity type: Individual)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN-NP136273 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 745 S MILLEDGE AVE STE 1A, Athens, GA 30605-1292
- **Phone:** (706) 498-9560 · **Fax:** (706) 498-9568
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Mary's Medical Group, Inc. (NPI 1235561820, Athens, GA); Piedmont Athens Hospitalist Physicians LLC (NPI 1578079000, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124087879) · Data from the CMS NPPES public registry.