DYLAN ELIZABETH WALLACE FNP
NPI 1316569353
Nurse Practitioner in Philadelphia, PA
About Dylan Elizabeth Wallace Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DYLAN ELIZABETH WALLACE FNP (NPI 1316569353) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP021955) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Dylan Elizabeth Wallace Fnp 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Dylan Wallace's NPI number?
The NPI number for Dylan Wallace is 1316569353. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Dylan Wallace located?
Dylan Wallace practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-3920.
What is Dylan Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dylan Wallace enrolled in Medicare?
Yes. Dylan 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.
When was this NPI record last updated?
The NPPES record for Dylan Wallace was last updated on May 13, 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.
# Dylan Elizabeth Wallace, FNP · NPI 1316569353
Nurse Practitioner physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1316569353 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP021955 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-3920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1316569353) · Data from the CMS NPPES public registry.