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

Q: 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.

Q: What is Carla Wallace's specialty?

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

Q: 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 5 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.

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: August 16, 2026.

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

On this page

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.

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 ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

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.

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.

What insurance does Carla Wallace accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 5 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.