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

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

Active since November 04, 2016PECOS EnrolledAccepts Medicare Assignment
607 E JUBAL EARLY DR, WINCHESTER, VA 22601(540) 536-2232 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Apr 2, 2025, Feb 24, 2025 and 5 more (8 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 6 additional practice locations.

NPPES Registry Identity

NPI1275075400
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER MARIE WALLACECredential: NP
Location Address607 E JUBAL EARLY DRWinchester, VA 22601-5178
Mailing Address341 Fontana CirMartinsburg, WV 25403-1310
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 4, 2016
Last NPPES UpdateOctober 1, 20268 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ 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
607 E JUBAL EARLY DR, Winchester, VA 22601

Secondary Practice Locations 6

Location 1415A South StFront Royal, VA 22630-2115 · Phone (540) 636-0495
Location 2190 Campus Blvd Ste 310Winchester, VA 22601-2872 · Phone (540) 536-0130 · Fax (540) 536-0140
Location 333820 Old Valley Pike Ste 2Strasburg, VA 22657-3793 · Phone (540) 459-1310
Location 465 Riverton Commons DrFront Royal, VA 22630-6768 · Phone (540) 635-0700
Location 51840 Amherst StWinchester, VA 22601-2808 · Phone (540) 536-8000
Location 6160 Merchant St Ste 200Winchester, VA 22603-4772 · Phone (540) 536-5950

Accepted 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

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Heather Wallace reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
607 E JUBAL EARLY DR
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 77 clinicians in this Medicare group
Obstetrics & Gynecology
611 W JUBAL EARLY DR STE A1
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
Family Medicine
230 COSTELLO DR STE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
Internal Medicine
333 W CORK ST UNIT 405
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Blue Ridge Hospice Inc.
  • 15 clinicians in this Medicare group
Rural Health
4803 GERRARDSTOWN RD
Inwood, WV 25428
  • Reassigned Medicare billing, West Virginia enrollment
  • 135 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, West Virginia enrollment
  • 80 clinicians in this Medicare group
Nurse Practitioner
9201 E MOUNTAIN VIEW RD, SUITE 220
Scottsdale, AZ 85258
  • Reassigned Medicare billing, West Virginia enrollment
  • 68 clinicians in this Medicare group

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 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 20

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

Physician Assistant
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Physician Assistant
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Nurse Practitioner (Family)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Clinic/Center (Occupational Medicine)
607 E JUBAL EARLY DR
WINCHESTER, VA 22601
Physician Assistant
607 E JUBAL EARLY DR
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 607 E Jubal Early Dr, Winchester, VA 22601. The listed phone number is (540) 536-2232.

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.

Which organizations bill Medicare for Heather Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Wallace reassigns Medicare benefits to 7 organizations: Valley Regional Enterprises, Inc (Winchester, VA), Valley Physician Enterprise, Inc. (Winchester, VA), Winchester Medical Center (Winchester, VA), Blue Ridge Palliative Care Services (Winchester, VA), East Mountain Health Physicians, Inc. (Inwood, WV) and 2 more organizations, listed in the Medicare section above. 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 Heather Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.