KYLE WALLACE
NPI 1205258258
Nurse Practitioner - Adult Health in Bronx, NY

Q: What is Kyle Wallace's NPI number?

The NPI number for Kyle Wallace is 1205258258. It was assigned to this individual provider in the NPPES registry on January 10, 2014.

Q: What is Kyle Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Wallace was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 10, 2014PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 583-7736(718) 537-6180 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2024, Jul 19, 2023, Jan 9, 2023 (3 updates tracked since 2023).

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About Kyle Wallace NPPES

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

KYLE WALLACE (NPI 1205258258) is an individual adult health provider in Bronx, New York, licensed in New York (F311097-01) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205258258

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameKYLE WALLACE

Location Address2015 GRAND CONCOURSEBronx, NY 10453-4303

Mailing Address2626 Halperin AveBronx, NY 10461-2631 · (718) 618-0401 · Fax (347) 479-1303

Phone(718) 583-7736

Fax(718) 537-6180

Sole ProprietorYes

Enumeration DateJanuary 10, 2014

Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration

NPPES CertifiedNovember 14, 2024

✔ NPI 1205258258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LA2200X

License✔ Licensed in NY · F311097-01

Also ListedRegistered NurseTaxonomy 163W00000X · License 546269-1 (NY)

2015 GRAND CONCOURSE, Bronx, NY 10453

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Wallace 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

Medicare enrollment records show Kyle Wallace reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates, PC

Same address

Legal Medicine

2015 GRAND CONCOURSE
Bronx, NY 10453

Reassigned Medicare billing, New York enrollment
1,393 clinicians in this Medicare group

NPI 1366418709 (718) 583-7736

Essen Medical Urgicare, PLLC

1.0 mi

Urgent Care

1550 UNIVERSITY AVE
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1841607298 (718) 583-7736

Bronx Medical Practice P.C.

3.2 mi

Internal Medicine

2626 HALPERIN AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Bronx Medical Practice PC
1,013 clinicians in this Medicare group

NPI 1356726087 (646) 340-1309

House Call Medical Services Of New York, PLLC

3.4 mi

Internal Medicine

1371 SEABURY AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
1,054 clinicians in this Medicare group

NPI 1851345946 (718) 294-6200

New Health Medical PC

15 mi

Internal Medicine

143 WICKHAM RD
Garden City, NY 11530

Reassigned Medicare billing, New York enrollment
9 clinicians in this Medicare group

NPI 1427606649 (347) 804-8217

2241 Medical Testing Corp

17 mi

Urology

2241 OCEAN AVE
Brooklyn, NY 11229

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1497566897 (718) 375-3746

Park Avenue Pediatrics, P.C.

23 mi

Pediatrics

12 DEERWOOD RD
Spring Valley, NY 10977

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Park Avenue Pediatrics PC
87 clinicians in this Medicare group

NPI 1699969543 (845) 671-4000

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 13

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.

1,549 services868 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

1,178 services751 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

850 services846 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

229 services229 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

172 services118 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

135 services84 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

120 services120 patients

Simple change of bladder tube 51705

A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.

72 services29 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

69 services67 patients

Complicated insertion of bladder tube 51703

This procedure involves placing a tube into your bladder to help with urine flow. It may be needed if you have trouble urinating naturally. The process requires specialized skill due to certain complexities but is done with utmost care for your comfort.

23 services17 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.

21 services18 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

17 services17 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

MANA RAO M.D.

Internal Medicine (Infectious Disease)