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PEGGY LYNN WALLACE ARNP
NPI 1285930123
Nurse Practitioner - Adult Health in Tampa, FL

Active since February 09, 2011PECOS EnrolledAccepts Medicare Assignment
4600 N HABANA AVE, SUITE 15, TAMPA, FL 33614(813) 870-4460 Get Directions Write a Review

NPPES record last updated: May 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peggy Lynn Wallace Arnp NPPES

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

PEGGY LYNN WALLACE ARNP (NPI 1285930123) is an individual adult health provider in Tampa, Florida, licensed in Florida (9274861) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285930123
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NamePEGGY LYNN WALLACECredential: ARNP
Location Address4600 N HABANA AVE, SUITE 15Tampa, FL 33614-7112
Mailing Address110 W North StTampa, FL 33604-6015 · (813) 857-2679
Phone(813) 870-4460
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 9, 2011
Last NPPES UpdateMay 20, 2011
✔ NPI 1285930123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · 9274861
4600 N HABANA AVE, Tampa, FL 33614
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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 and accepts Medicare assignment

Peggy Lynn Wallace Arnp 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 ID1355529504
PECOS Enrollment IDI20110617000280
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 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.
67 services24 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33614 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 2

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims2,695 services$0.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers12 claims12 services$16.41 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.

TBIM HOSPITALISTS LLC
Internal Medicine
4600 N HABANA AVE, SUITE 27
TAMPA, FL 33614
Hillsborough County (813) 681-0340
LUIS E. KORTRIGHT M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4600 N HABANA AVE, SUITE # 6
TAMPA, FL 33614
Hillsborough County (813) 871-5200
JOSE C DOMINGUEZ MD PA
Internal Medicine (Cardiovascular Disease)
4600 N HABANA AVE, SUITE 20
TAMPA, FL 33614
Hillsborough County (813) 877-9449
ROBERTO PEREZ-MILLAN MD, PA
Physical Medicine & Rehabilitation
4600 N HABANA AVE, SUITE 28
TAMPA, FL 33614
Hillsborough County (813) 873-2800
JOSEPH G SINKOVICS MD PA
Clinic/Center (Oncology)
4600 N HABANA AVE, SUITE 9
TAMPA, FL 33614
Hillsborough County (813) 874-7475
MR. WALDO S. GUERRERO P.A.
Physician Assistant
4600 N HABANA AVE, SUITE 4
TAMPA, FL 33614
Hillsborough County (813) 879-4477
JOSE CURA JR MD P A
Internal Medicine (Interventional Cardiology)
4600 N HABANA AVE, SUITE 13
TAMPA, FL 33614
Hillsborough County (813) 870-3278
G. E. VEGA, M. D., P. A.
Specialist
4600 N HABANA AVE, SUITE 33
TAMPA, FL 33614
Hillsborough County (813) 870-1404

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 Peggy Wallace's NPI number?

The NPI number for Peggy Wallace is 1285930123. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Where is Peggy Wallace located?

Peggy Wallace practices at 4600 N Habana Ave Suite 15, Tampa, FL 33614. The listed phone number is (813) 870-4460.

What is Peggy Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Peggy Wallace enrolled in Medicare?

Yes. Peggy 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.

Is Peggy Wallace affiliated with any hospitals?

According to CMS data, Peggy Wallace is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Peggy Wallace was last updated on May 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.