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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 16, 2026.

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

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 Medica.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

What insurance does Jessica Wallace accept?

Health plans from Medica 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 39 days 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.