BRIANNA M WALLACE PA-C
NPI 1184486235
Physician Assistant in Cherry Hill, NJ

Q: What is Brianna Wallace's NPI number?

The NPI number for Brianna Wallace is 1184486235. It was assigned to this individual provider in the NPPES registry on January 24, 2024.

Q: What is Brianna Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brianna Wallace was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 24, 2024PECOS EnrolledAccepts Medicare Assignment

1945 ROUTE 70 E STE D, CHERRY HILL, NJ 08003(856) 237-8045(856) 237-8047 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2026, Feb 2, 2026 (2 updates tracked since 2026).

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About Brianna M Wallace Pa-c NPPES

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

BRIANNA M WALLACE PA-C (NPI 1184486235) is an individual physician assistant in Cherry Hill, New Jersey, licensed in New Jersey (25MP00835000) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184486235

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBRIANNA M WALLACECredential: PA-C

Location Address1945 ROUTE 70 E STE DCherry Hill, NJ 08003-2160

Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 237-8045 · Fax (856) 237-8047

Phone(856) 237-8045

Fax(856) 237-8047

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 24, 2024

Last NPPES UpdateMay 8, 20262 updates tracked since enumeration

NPPES CertifiedMay 8, 2026

✔ NPI 1184486235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NJ · 25MP00835000✔ Licensed in DE · C5-0012199✔ Licensed in MD · C0009759

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1945 ROUTE 70 E STE D, Cherry Hill, NJ 08003

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Secondary Practice Locations 2

Location 11132 Cooper StDeptford, NJ 08096-3014 · Phone (856) 848-8060

Location 24755 OGLETOWN STANTON ROAD, SUITE 5A43NEWARK, DE 19718-2200 · Phone (302) 623-0188 · Fax (302) 733-5640

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

Brianna M Wallace Pa-c 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.

PECOS PAC ID1153761820

PECOS Enrollment IDI20240429000511, I20250114002087

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310022

Location100 Bowman DriveVoorhees, NJ 08043 · Camden County

Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310057

Location175 Madison AveMount Holly, NJ 08060 · Burlington County

Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310061

Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08003 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

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 11

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

MARY AUGUST OLSSON

Physician Assistant