ANNALIESA WALLACE PA
NPI 1255744363
Physician Assistant - Medical in Kerrville, TX

Active since June 05, 2014PECOS EnrolledAccepts Medicare Assignment
1331 BANDERA HWY, STE 2, KERRVILLE, TX 78028(830) 895-7755(830) 895-7757 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2020, Jan 23, 2017 (2 updates tracked since 2017).

About Annaliesa Wallace Pa NPPES

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

ANNALIESA WALLACE PA (NPI 1255744363) is an individual medical provider in Kerrville, Texas, licensed in Texas (PA09066) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255744363
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANNALIESA WALLACECredential: PA
Location Address1331 BANDERA HWY, STE 2Kerrville, TX 78028-9515
Mailing Address708 Hill Country Dr, Ste 300aKerrville, TX 78028-6079 · (830) 895-7755 · Fax (830) 895-7757
Fax(830) 895-7757
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 5, 2014
Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
NPI 1255744363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA09066
1331 BANDERA HWY, Kerrville, TX 78028

Other Identifiers 1

Other8301NJTX · Bcbs Of Texas

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Annaliesa Wallace Pa 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 ID8022230358
PECOS Enrollment IDI20141120002029
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 7

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.

Injection, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
3,000 services12 patients
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.
185 services164 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.
136 services86 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
105 services105 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
79 services79 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.
65 services64 patients

Hospital Affiliations CMS Care Compare 2

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology (Gynecology)
1331 BANDERA HWY, SUITE 3
KERRVILLE, TX 78028
Nurse Practitioner (Family)
1331 BANDERA HWY
KERRVILLE, TX 78028
Clinical Nurse Specialist (Pediatrics)
1331 BANDERA HWY, SUITE 10
KERRVILLE, TX 78028
Internal Medicine
1331 BANDERA HWY
KERRVILLE, TX 78028
Otolaryngology
1331 BANDERA HWY, SUITE 1A
KERRVILLE, TX 78028
Internal Medicine
1331 BANDERA HWY, SUITE 1-B
KERRVILLE, TX 78028
Internal Medicine
1331 BANDERA HWY
KERRVILLE, TX 78028
Family Medicine
1331 BANDERA HWY
KERRVILLE, TX 78028

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 Annaliesa Wallace's NPI number?

The NPI number for Annaliesa Wallace is 1255744363. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Annaliesa Wallace located?

Annaliesa Wallace practices at 1331 Bandera Hwy Ste 2, Kerrville, TX 78028. The listed phone number is (830) 895-7755.

What is Annaliesa Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Annaliesa Wallace enrolled in Medicare?

Yes. Annaliesa 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.

What insurance does Annaliesa Wallace accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Annaliesa 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 Annaliesa Wallace affiliated with any hospitals?

According to CMS data, Annaliesa Wallace is affiliated with Peterson Regional Medical Center and Hill Country Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Annaliesa Wallace was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.