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JESSICA FAYE WALLACE PA-C
NPI 1306920780
Physician Assistant - Medical in Washington, DC

Active since October 24, 2006PECOS Enrolled
3020 14TH ST NW, WASHINGTON, DC 20009(202) 745-4300(202) 745-2510 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Faye Wallace Pa-c NPPES

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

JESSICA FAYE WALLACE PA-C (NPI 1306920780) is an individual medical provider in Washington, District Of Columbia, licensed in North Carolina (0010-00640) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306920780
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA FAYE WALLACECredential: PA-C
Location Address3020 14TH ST NWWashington, DC 20009-6865
Mailing Address3020 14th St NwWashington, DC 20009-6865 · (202) 745-4300 · Fax (202) 745-2510
Phone(202) 745-4300
Fax(202) 745-2510
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1306920780 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 NC · 0010-00640
3020 14TH ST NW, Washington, DC 20009
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Faye Wallace Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MISS ARUNA SELINA HARDUARSINGH-PERMAUL
Family Medicine
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 745-4300
PERRY VAUGHN KING LICSW
Social Worker (Clinical)
3020 14TH ST NW, SUITE 402B
WASHINGTON, DC 20009
District of Columbia (202) 745-4300
DR. ELLIE SEPEHRI M.D.
Pediatrics
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 469-4699
DR. AMANDA ISABEL SLATER M.D.
Family Medicine
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 612-3161
DR. CONSTANTINE SHUSTIKOFF M.D.
Psychiatry & Neurology (Psychiatry)
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 518-6453
SIDALIA REED
Dentist (Orthodontics and Dentofacial Orthopedics)
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 745-4300
JAMES HUANG MD
Family Medicine
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 745-4300
DR. KATHLEEN GIBLIN HILL M.D.
Family Medicine
3020 14TH ST NW
WASHINGTON, DC 20009
District of Columbia (202) 745-6500

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 Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1306920780. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Jessica Wallace located?

Jessica Wallace practices at 3020 14th St NW, Washington, DC 20009. The listed phone number is (202) 745-4300.

What is Jessica Wallace's specialty?

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

Is Jessica Wallace enrolled in Medicare?

Yes. Jessica Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Wallace accept?

Health plans from UnitedHealthcare list Jessica 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.

When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on March 26, 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.