BRITTANY BAYNE WALLACE CPNP - NPI 1134992829 - Nurse Practitioner in Glastonbury, CT

Q: What is Brittany Wallace's NPI number?

The NPI number for Brittany Wallace is 1134992829. It was assigned to this individual provider in the NPPES registry on November 3, 2023.

Q: What is Brittany Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Brittany Wallace was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brittany Bayne Wallace Cpnp NPPES

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

BRITTANY BAYNE WALLACE CPNP (NPI 1134992829) is an individual pediatrics provider in Glastonbury, Connecticut, licensed in Connecticut (14871) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1134992829

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBRITTANY BAYNE WALLACECredential: CPNP

Location Address290 WESTERN BLVDGlastonbury, CT 06033-1236

Mailing Address187 E Chippens Hill RdBurlington, CT 06013-2111 · (860) 502-7005

Phone(860) 652-3325

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 3, 2023

Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1134992829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in CT · 14871✔ Licensed in MA · RN2361529

290 WESTERN BLVD, Glastonbury, CT 06033

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Brittany Bayne Wallace Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264936665

PECOS Enrollment IDI20250918002838

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

Other Providers at the Same Location NPPES 8

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

MCKENNA TIERNEY DO

Pediatrics