MAXANA WILBY-WALLACE ANP
NPI 1174718654
Nurse Practitioner - Adult Health in New York, NY

Q: What is Maxana Wilby-wallace's NPI number?

The NPI number for Maxana Wilby-wallace is 1174718654. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Q: What is Maxana Wilby-wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since September 07, 2007PECOS Enrolled

1901 1ST AVE, EMPLOYEES HEALTH SERVICE/METROPOLITAN HOSPITAL CENTER, NEW YORK, NY 10029(212) 423-6384(212) 423-8602 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Maxana Wilby-wallace Anp NPPES

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

MAXANA WILBY-WALLACE ANP (NPI 1174718654) is an individual adult health provider in New York, New York, licensed in New York (F303569) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174718654

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMAXANA WILBY-WALLACECredential: ANP

Location Address1901 1ST AVE, EMPLOYEES HEALTH SERVICE/METROPOLITAN HOSPITAL CENTERNew York, NY 10029-7404

Mailing Address1901 1st Ave, Employees Health Service/metropolitan Hospital CenterNew York, NY 10029-7404 · (212) 423-6384 · Fax (212) 423-8602

Phone(212) 423-6384

Fax(212) 423-8602

Sole ProprietorNo

Enumeration DateSeptember 7, 2007

✔ NPI 1174718654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F303569

1901 1ST AVE, New York, NY 10029

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxana Wilby-wallace Anp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

Leave this field empty

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.

KENNETH BOMPAROLA PA

Physician Assistant