ASHLEY WALLACE FNP
NPI 1174315329
Nurse Practitioner - Family in Savannah, TN
About Ashley Wallace Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY WALLACE FNP (NPI 1174315329) is an individual family provider in Savannah, Tennessee, licensed in Tennessee (39722) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ashley Wallace Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38372 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ashley Wallace's NPI number?
The NPI number for Ashley Wallace is 1174315329. It was assigned to this individual provider in the NPPES registry on May 21, 2025.
Where is Ashley Wallace located?
Ashley Wallace practices at 1440 Pickwick St, Savannah, TN 38372. The listed phone number is (731) 925-3354.
What is Ashley Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ashley Wallace enrolled in Medicare?
Yes. Ashley Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Ashley Wallace was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ashley Wallace, FNP · NPI 1174315329
Family physician in Savannah, Tennessee. Individual provider, active in the CMS NPPES registry since May 21, 2025.
## Identity
- **NPI:** 1174315329 (Entity type: Individual)
- **Enumerated:** May 21, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 39722 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1440 PICKWICK ST, Savannah, TN 38372-3519
- **Phone:** (731) 925-3354
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 14, 2026
- **Other identifiers:** Medicaid Q107921 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1174315329) · Data from the CMS NPPES public registry.