HEATHER MARIE WALLACE NP
NPI 1275075400
Nurse Practitioner - Family in Winchester, VA

Active since November 04, 2016PECOS EnrolledAccepts Medicare Assignment
333 W CORK ST UNIT 405, WINCHESTER, VA 22601(540) 313-9200(540) 686-7287 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2025, Feb 24, 2025, Jun 10, 2021 and 4 more (7 updates tracked since 2016).

About Heather Marie Wallace Np NPPES

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

HEATHER MARIE WALLACE NP (NPI 1275075400) is an individual family provider in Winchester, Virginia, licensed in Virginia (0024174206) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1275075400
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER MARIE WALLACECredential: NP
Location Address333 W CORK ST UNIT 405Winchester, VA 22601-3876
Mailing Address333 W Cork St Unit 405Winchester, VA 22601-3876 · (540) 313-9266 · Fax (540) 301-5466
Fax(540) 686-7287
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 4, 2016
Last NPPES UpdateApril 2, 20257 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
NPI 1275075400 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 VA · 0024174206
333 W CORK ST UNIT 405, Winchester, VA 22601

Secondary Practice Locations 7

Location 1415A South StFront Royal, VA 22630-2115 · Phone (540) 636-0495
Location 2607 E Jubal Early DrWinchester, VA 22601-5178 · Phone (540) 536-2232
Location 31840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000
Location 4190 Campus Blvd Ste 310Winchester, VA 22601-2872 · Phone (540) 536-0130 · Fax (540) 536-0140
Location 5160 Merchant St Ste 200Winchester, VA 22603-4772 · Phone (540) 536-5950
Location 665 Riverton Commons DrFront Royal, VA 22630-6768 · Phone (540) 635-0700
Location 733820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310

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

Heather Marie Wallace Np 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 ID244510113
PECOS Enrollment IDI20161212000511
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 2

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 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.
40 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 3

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

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
3 suppliers11 claims250 services$2.87 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.55 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 16

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

Nurse Practitioner (Family)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Internal Medicine (Hospice and Palliative Medicine)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Family Medicine (Hospice and Palliative Medicine)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Registered Nurse (Hospice)
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Nurse Practitioner
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Nurse Practitioner
333 W CORK ST UNIT 405
WINCHESTER, VA 22601
Family Medicine
333 W CORK ST UNIT 405
WINCHESTER, VA 22601

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 Heather Wallace's NPI number?

The NPI number for Heather Wallace is 1275075400. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Heather Wallace located?

Heather Wallace practices at 333 W Cork St Unit 405, Winchester, VA 22601. The listed phone number is (540) 313-9200.

What is Heather Wallace's specialty?

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

Is Heather Wallace enrolled in Medicare?

Yes. Heather 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 Heather Wallace accept?

Health plans from CareSource list Heather 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 Heather Wallace affiliated with any hospitals?

According to CMS data, Heather Wallace is affiliated with Winchester Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Wallace was last updated on April 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.