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CARLA DENNISE WALLACE A-GNP-C
NPI 1164122149
Nurse Practitioner - Gerontology in Pearland, TX

Active since March 07, 2023PECOS Enrolled
2421 COPPER SKY DR, PEARLAND, TX 77584(409) 350-0016(877) 673-2947 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Carla Dennise Wallace A-gnp-c NPPES

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

CARLA DENNISE WALLACE A-GNP-C (NPI 1164122149) is an individual gerontology provider in Pearland, Texas, licensed in Texas (1095104) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pearland.

NPPES Registry Identity

NPI1164122149
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCARLA DENNISE WALLACECredential: A-GNP-C
Location Address2421 COPPER SKY DRPearland, TX 77584-3782
Mailing Address2421 Copper Sky DrPearland, TX 77584-3782 · (409) 350-0016
Phone(409) 350-0016
Fax(877) 673-2947
Sole ProprietorYes
Enumeration DateMarch 7, 2023
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1164122149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1095104
2421 COPPER SKY DR, Pearland, TX 77584
Open in Google Maps ↗

Secondary Practice Location 1

Location 13129 Kingsley Dr Ste 1940Pearland, TX 77584-8511 · Phone (346) 502-2837 · Fax (877) 673-2947

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carla Dennise Wallace A-gnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Carla Wallace reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carla Wallace Nurse Practitioner, PLLC
Same address
Adult Health
2421 COPPER SKY DR
Pearland, TX 77584
  • Reassigned Medicare billing, Texas enrollment
NPI 1972322212 (409) 350-0016
Trumen Physicians And Associates PLLC
7.7 mi
Geriatric Medicine
2626 S LOOP W STE 265
Houston, TX 77054
  • Reassigned Medicare billing, Texas enrollment
  • 158 clinicians in this Medicare group
NPI 1134442320 (713) 242-7707
Dynamic Anesthesia Providers PLLC
19 mi
Anesthesiology
510 W TIDWELL RD
Houston, TX 77091
  • Reassigned Medicare billing, Texas enrollment
  • 319 clinicians in this Medicare group
NPI 1346752326 (832) 465-3514
Cs Pacs 3 Southwest, LLC
28 mi
Hospitalist
5800 W BAKER RD
Baytown, TX 77520
  • Reassigned Medicare billing, Texas enrollment
  • 131 clinicians in this Medicare group
NPI 1275398430 (281) 425-1200
Happy Health And Wellness Of America PA LLC
171 mi
Family Medicine
318 RICHLAND WEST CIR STE A
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 25 clinicians in this Medicare group
NPI 1770344889 (254) 776-8008
Rehabilitation & Physical Medicine LLC
242 mi
Physical Medicine & Rehabilitation
611 N MACARTHUR BLVD STE 110
Irving, TX 75061
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
NPI 1437470358 (972) 253-9355
Ipc Pac Healthcare Services Of Texas PLLC
247 mi
Hospitalist
14131 MIDWAY RD, SUITE 620
Addison, TX 75001
  • Reassigned Medicare billing, Texas enrollment
  • 142 clinicians in this Medicare group
NPI 1194174201 (972) 249-0200
Legacy Physiatry Group LLC
249 mi
Physical Medicine & Rehabilitation
850 CENTRAL PKWY E STE 275
Plano, TX 75074
  • Reassigned Medicare billing, Texas enrollment
  • 96 clinicians in this Medicare group
NPI 1316078769 (972) 881-4688
Nv Pacs 2 LLC
1,240 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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 2

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
59 services30 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
45 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77584 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
$88.15 typical visit price
range $57.16 – $172.89
Typical copayment $22.03 (range $14.29 – $43.22)
Most-billed visit code 99203
Established Patient
$100.84 typical visit price
range $18.45 – $141.27
Typical copayment $25.21 (range $4.61 – $35.31)
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

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

CARLA WALLACE NURSE PRACTITIONER, PLLC
Nurse Practitioner (Adult Health)
2421 COPPER SKY DR
PEARLAND, TX 77584
Brazoria County (409) 350-0016

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 Carla Wallace's NPI number?

The NPI number for Carla Wallace is 1164122149. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Carla Wallace located?

Carla Wallace practices at 2421 Copper Sky Dr, Pearland, TX 77584. The listed phone number is (409) 350-0016.

What is Carla Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Carla Wallace enrolled in Medicare?

Yes. Carla Wallace is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carla Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Wallace reassigns Medicare benefits to 9 organizations: Carla Wallace Nurse Practitioner, PLLC (Pearland, TX), Trumen Physicians And Associates PLLC (Houston, TX), Dynamic Anesthesia Providers PLLC (Houston, TX), Cs Pacs 3 Southwest, LLC (Baytown, TX), Happy Health And Wellness Of America PA LLC (Waco, TX) and 4 more organizations, listed in the Medicare section above. 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 Carla Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carla Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Carla 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.

When was this NPI record last updated?

The NPPES record for Carla Wallace was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.