DR. MARISA I WALLACE DNP, FNP-BC
NPI 1144248162
Nurse Practitioner - Family in New York, NY
About Dr. Marisa I Wallace Dnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARISA I WALLACE DNP, FNP-BC (NPI 1144248162) is an individual family provider in New York, New York, licensed in New York (F334712-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Marisa I Wallace Dnp, Fnp-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 10010 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10010
NEW YORK, NY 10010
NEW YORK, NY 10010
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 Marisa Wallace's NPI number?
The NPI number for Marisa Wallace is 1144248162. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Marisa Wallace located?
Marisa Wallace practices at 423 E 23rd St, New York, NY 10010. The listed phone number is (212) 686-7500.
What is Marisa Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marisa Wallace enrolled in Medicare?
Yes. Marisa Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marisa Wallace was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Dr. Marisa I Wallace, DNP, FNP-BC · NPI 1144248162
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 17, 2006.
## Identity
- **NPI:** 1144248162 (Entity type: Individual)
- **Enumerated:** July 17, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F334712-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 423 E 23RD ST, New York, NY 10010-5011
- **Phone:** (212) 686-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 1, 2010
---
Source: [NPI Profile](https://npiprofile.com/npi/1144248162) · Data from the CMS NPPES public registry.