JESSICA LYNNE WALLACE NNP-BC
NPI 1215581293
Nurse Practitioner - Neonatal, Critical Care in Iowa City, IA

Q: What is Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1215581293. It was assigned to this individual provider in the NPPES registry on July 29, 2019. The provider is also known as Jessica Lynne Phillips.

Q: What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on July 12, 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.

Active since July 29, 2019PECOS Enrolled

200 HAWKINS DR, IOWA CITY, IA 52242(319) 353-6880(319) 356-4685 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2026, Jul 29, 2019 (2 updates tracked since 2019).

On this page

About Jessica Lynne Wallace Nnp-bc NPPES

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

JESSICA LYNNE WALLACE NNP-BC (NPI 1215581293) is an individual neonatal, critical care provider in Iowa City, Iowa, licensed in Iowa (K155915) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215581293

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameJESSICA LYNNE WALLACECredential: NNP-BC

Location Address200 HAWKINS DRIowa City, IA 52242-1009

Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 353-6880 · Fax (319) 356-4685

Phone(319) 353-6880

Fax(319) 356-4685

Sole ProprietorNo

Enumeration DateJuly 29, 2019

Last NPPES UpdateJuly 12, 20262 updates tracked since enumeration

NPPES CertifiedJuly 12, 2026

✔ NPI 1215581293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in IA · K155915

200 HAWKINS DR, Iowa City, IA 52242

Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Lynne Phillips

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynne Wallace Nnp-bc 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 Reassignment

Medicare enrollment records show Jessica Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa

Same address

Dentist

200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1114905387 (319) 356-2743

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

SANGIL LEE M.D.

Emergency Medicine

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2233

RAMI G. EL ABIAD M.D.

Internal Medicine (Gastroenterology)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-4901

GRERK SUTAMTEWAGUL MD

Internal Medicine (Hematology & Oncology)

200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242

Johnson County (319) 356-1616

DR. KALEB TANNER VEIT D.O.

Internal Medicine (Critical Care Medicine)

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 356-2320

OMAR JABER M.D

Chronic Disease Hospital

200 HAWKINS DR
IOWA CITY, IA 52242

Johnson County (319) 471-8958

JENNIFER MANCUSO MS, CGC

Genetic Counselor, MS

200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242

Johnson County (319) 384-7983

ASHLEY KAISER M.D.

Obstetrics & Gynecology

200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242

Johnson County (319) 356-2294

MRS. NANCY JANE MILLICE

Health Educator

200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Johnson County (319) 356-3825

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 Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1215581293. It was assigned to this individual provider in the NPPES registry on July 29, 2019. The provider is also known as Jessica Lynne Phillips.

Where is Jessica Wallace located?

Jessica Wallace practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 353-6880.

What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Jessica Wallace enrolled in Medicare?

Yes. Jessica Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wallace reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Wallace accept?

Health plans from Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Jessica 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 Jessica Wallace was last updated on July 12, 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.