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TERESA M WALLACE APN
NPI 1225357635
Nurse Practitioner - Family in Brighton, TN

Active since May 25, 2010PECOS Enrolled
1880 OLD HIGHWAY 51 S STE C, BRIGHTON, TN 38011(901) 837-7979(901) 837-7999 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 10, 2016 (2 updates tracked since 2016).

About Teresa M Wallace Apn NPPES

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

TERESA M WALLACE APN (NPI 1225357635) is an individual family provider in Brighton, Tennessee, licensed in Tennessee (14863) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225357635
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA M WALLACECredential: APN
Location Address1880 OLD HIGHWAY 51 S STE CBrighton, TN 38011-8025
Mailing AddressPo Box 1000 Dept 978Memphis, TN 38148-0001 · (901) 758-9900 · Fax (901) 752-2335
Phone(901) 837-7979
Fax(901) 837-7999
Sole ProprietorNo
Enumeration DateMay 25, 2010
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1225357635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 14863
1880 OLD HIGHWAY 51 S STE C, Brighton, TN 38011
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa M Wallace Apn 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38011 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

MRS. AMANDA M HOLDER FNP-C
Nurse Practitioner (Family)
1880 OLD HIGHWAY 51 S STE C
BRIGHTON, TN 38011
Tipton County (901) 837-7979
MICHAEL SCOTT CRAIG MD
Family Medicine
1880 OLD HIGHWAY 51 S STE C
BRIGHTON, TN 38011
Tipton County (901) 837-7979
ANNA MCKENZIE HOWARD APN
Nurse Practitioner (Family)
1880 OLD HIGHWAY 51 S STE C
BRIGHTON, TN 38011
Tipton County (901) 837-7979

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 Teresa Wallace's NPI number?

The NPI number for Teresa Wallace is 1225357635. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Teresa Wallace located?

Teresa Wallace practices at 1880 Old Highway 51 S Ste C, Brighton, TN 38011. The listed phone number is (901) 837-7979.

What is Teresa Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teresa Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Teresa Wallace was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.