LISA M. WALLACE FNP
NPI 1235637182
Nurse Practitioner - Family in Florence, SC

Q: What is Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1235637182. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Q: What is Lisa Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Wallace was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 25, 2018PECOS EnrolledAccepts Medicare Assignment

800 E CHEVES ST STE 200, FLORENCE, SC 29506(843) 662-1502(843) 678-3611 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Lisa M. Wallace Fnp NPPES

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

LISA M. WALLACE FNP (NPI 1235637182) is an individual family provider in Florence, South Carolina, licensed in South Carolina (21595) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1235637182

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA M. WALLACECredential: FNP

Location Address800 E CHEVES ST STE 200Florence, SC 29506-2651

Mailing AddressPo Box 3239Florence, SC 29502-3239 · (843) 777-7098 · Fax (843) 777-7102

Phone(843) 662-1502

Fax(843) 678-3611

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 25, 2018

Last NPPES UpdateFebruary 24, 2021

NPPES CertifiedFebruary 24, 2021

✔ NPI 1235637182 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 SC · 21595

800 E CHEVES ST STE 200, Florence, SC 29506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa M. Wallace Fnp 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 ID6709140619

PECOS Enrollment IDI20180501000702

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 Lisa Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcleod Physician Associates II

Same address

Urology

800 E CHEVES ST, SUITE 350
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
878 clinicians in this Medicare group

NPI 1649428194 (843) 665-2000

Mcleod Regional Medical Center Of The Pee Dee, Inc

0.2 mi

Emergency Medical Services

555 E CHEVES ST
Florence, SC 29506

Reassigned Medicare billing, South Carolina enrollment
816 clinicians in this Medicare group

NPI 1154371433 (843) 777-2000

Mcleod Health Clarendon

10 mi

Rural Health

755 E SMITH ST
Timmonsville, SC 29161

Reassigned Medicare billing, South Carolina enrollment
215 clinicians in this Medicare group

NPI 1003461773 (843) 346-3900

Curana Health Of South Carolina PC

94 mi

Internal Medicine

2375 BAKER HOSPITAL BLVD
North Charleston, SC 29405

Reassigned Medicare billing, South Carolina enrollment
409 clinicians in this Medicare group

NPI 1316477896 (337) 991-9276

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 18

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.

356 services262 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

261 services221 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

150 services15 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

148 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

141 services128 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

114 services98 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

73 services64 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

72 services72 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

67 services67 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

58 services53 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

45 services41 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

45 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

27 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

20 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

17 services16 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

13 services13 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

11 services11 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number420091

Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers16 claims36 services$5.94 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers14 claims14 services$6.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier12 claims12 services$43.87 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers19 claims19 services$20.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

YVETTE MAFOR MBANGOWAH MD

Family Medicine (Obesity Medicine)

800 E CHEVES ST STE 200
FLORENCE, SC 29506

Florence County (843) 662-1533

MCLEOD PHYSICIAN ASSOCIATES II

Family Medicine

800 E CHEVES ST STE 200
FLORENCE, SC 29506

Florence County (843) 662-1533

MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

Family Medicine

800 E CHEVES ST STE 200
FLORENCE, SC 29506

Florence County (843) 662-1533

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 Lisa Wallace's NPI number?

The NPI number for Lisa Wallace is 1235637182. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Lisa Wallace located?

Lisa Wallace practices at 800 E Cheves St Ste 200, Florence, SC 29506. The listed phone number is (843) 662-1502.

What is Lisa Wallace's specialty?

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

Is Lisa Wallace enrolled in Medicare?

Yes. Lisa Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Wallace reassigns Medicare benefits to 4 organizations: Mcleod Physician Associates II (Florence, SC), Mcleod Regional Medical Center Of The Pee Dee, Inc (Florence, SC), Mcleod Health Clarendon (Timmonsville, SC) and Curana Health Of South Carolina PC (North Charleston, SC). Each 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 Lisa Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Wallace accept?

Health plans from BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Lisa 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.

Is Lisa Wallace affiliated with any hospitals?

According to CMS data, Lisa Wallace is affiliated with Mcleod Regional Medical Center-Pee Dee and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Wallace was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.