DONNA M WALLACE ARPN
NPI 1154577047
Nurse Practitioner - Family in Bridgeport, CT

Active since August 12, 2008PECOS Enrolled
46 ALBION ST, BRIDGEPORT, CT 06605(203) 330-6000(203) 330-6007 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Donna M Wallace Arpn NPPES

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

DONNA M WALLACE ARPN (NPI 1154577047) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (003840) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated August 22, 2014.

NPPES Registry Identity

NPI1154577047
Entity TypeIndividualFemale
Provider Legal NameDONNA M WALLACECredential: ARPN
Location Address46 ALBION STBridgeport, CT 06605-2602
Mailing Address46 Albion St, Southwest Community Health Center, IncBridgeport, CT 06605-2602 · (203) 332-3155 · Fax (203) 330-6008
Fax(203) 330-6007
Sole ProprietorNo
Enumeration DateAugust 12, 2008
Last NPPES UpdateAugust 22, 2014
NPI 1154577047 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner · Family

Taxonomy 363LF0000X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in CT · 003840
46 ALBION ST, Bridgeport, CT 06605

Also on File with NPPES

Other Identifiers2
004236130 (Medicaid, CT)
003840 (Other, CT, State License 003840)

Medicare Participation & PECOS Enrollment Status

Donna Wallace is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06605 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $93.86
  • Minimum New Patient Price $60.82
  • Maximum New Patient Price $183.1
  • Average New Patient Copayment $23.46
  • Minimum New Patient Copayment $15.2
  • Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.68
  • Minimum Established Patient Price $19.76
  • Maximum Established Patient Price $149.26
  • Average Established Patient Copayment $26.67
  • Minimum Established Patient Copayment $4.94
  • Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DONNA M WALLACE ARPN

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER, INC
BRIDGEPORT, CT 06605
Nutritionist (Nutrition, Education)
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER,INC
BRIDGEPORT, CT 06605
Nurse Practitioner (Women's Health)
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER, INC
BRIDGEPORT, CT 06605
Obstetrics & Gynecology
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER, INC
BRIDGEPORT, CT 06605
Nurse Practitioner (Pediatrics)
46 ALBION ST
BRIDGEPORT, CT 06605
Nurse Practitioner (Pediatrics)
46 ALBION ST
BRIDGEPORT, CT 06605
Social Worker
46 ALBION ST
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
46 ALBION ST
BRIDGEPORT, CT 06605
Counselor (Addiction (Substance Use Disorder))
46 ALBION ST
BRIDGEPORT, CT 06605
Social Worker
46 ALBION ST
BRIDGEPORT, CT 06605
Counselor
46 ALBION ST
BRIDGEPORT, CT 06605
Counselor (Professional)
46 ALBION ST
BRIDGEPORT, CT 06605
Social Worker (Clinical)
46 ALBION ST
BRIDGEPORT, CT 06605
Psychiatry & Neurology (Psychiatry)
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER, INC
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
46 ALBION ST
BRIDGEPORT, CT 06605
Nurse Practitioner (Psychiatric/Mental Health)
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER
BRIDGEPORT, CT 06605
Counselor
46 ALBION ST
BRIDGEPORT, CT 06605
Nurse Practitioner (Pediatrics)
46 ALBION ST
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
46 ALBION ST
BRIDGEPORT, CT 06605
Nurse Practitioner (Family)
46 ALBION ST
BRIDGEPORT, CT 06605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154577047, enumerated as an "individual" on August 12, 2008.

The provider is located at 46 ALBION ST BRIDGEPORT, CT 06605 and the phone number is (203) 330-6000.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.