DR. JENNIFER KRISTINE WALLACE DMD
NPI 1316930233
Dentist - General Practice in Beaufort, SC

Q: What is Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1316930233. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Jennifer Wallace enrolled in Medicare?

No. Jennifer Wallace has opted out of Medicare through February 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 25, 2005Opted out of Medicare · through Feb 16, 2027

BEAUFORT NAVAL HOSPITAL, 1 PICKNEY AVE, BEAUFORT, SC 29902(843) 228-3500 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jennifer Kristine Wallace Dmd NPPES

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

DR. JENNIFER KRISTINE WALLACE DMD (NPI 1316930233) is an individual general practice provider in Beaufort, South Carolina, licensed in South Carolina (3538) and active in the NPI registry since August 2005. She has opted out of Medicare through February 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316930233

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JENNIFER KRISTINE WALLACECredential: DMD

Location AddressBEAUFORT NAVAL HOSPITAL, 1 PICKNEY AVEBeaufort, SC 29902

Mailing Address225 Distant Island DrBeaufort, SC 29907-1558 · (843) 986-1071

Phone(843) 228-3500

Sole ProprietorNo

Enumeration DateAugust 25, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316930233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 3538

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

BEAUFORT NAVAL HOSPITAL, Beaufort, SC 29902

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer Kristine Wallace Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2017 through February 16, 2027.

Opt-Out Effective DateFebruary 16, 2017

Opt-Out In Effect ThroughFebruary 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29902 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1316930233. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Jennifer Wallace located?

Jennifer Wallace practices at Beaufort Naval Hospital 1 Pickney Ave, Beaufort, SC 29902. The listed phone number is (843) 228-3500.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Wallace enrolled in Medicare?

No. Jennifer Wallace has opted out of Medicare through February 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.