DR. STEPHANIE D WALLACE DNP/FNP
NPI 1336999408
Nurse Practitioner - Family in Chico, CA
About Dr. Stephanie D Wallace Dnp/fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE D WALLACE DNP/FNP (NPI 1336999408) is an individual family provider in Chico, California, licensed in California (95029492) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Stephanie D Wallace Dnp/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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chico, CA 95926
- Reassigned Medicare billing, California enrollment
- 184 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
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 95926 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.
CHICO, CA 95926
CHICO, CA 95926
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 Stephanie Wallace's NPI number?
The NPI number for Stephanie Wallace is 1336999408. It was assigned to this individual provider in the NPPES registry on March 25, 2024. The provider is also known as Miss Stephanie D Cox.
Where is Stephanie Wallace located?
Stephanie Wallace practices at 1531 Esplanade, Chico, CA 95926. The listed phone number is (530) 370-3014.
What is Stephanie Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Wallace enrolled in Medicare?
Yes. Stephanie 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 organization bills Medicare for Stephanie Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Wallace reassigns Medicare benefits to Enloe Medical Center (Chico, CA). The 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 Stephanie Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Wallace was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Stephanie D Wallace, DNP/FNP · NPI 1336999408
Family physician in Chico, California. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1336999408 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95029492 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1531 ESPLANADE, Chico, CA 95926-3310
- **Phone:** (530) 370-3014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Enloe Medical Center (NPI 1477975613, Chico, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 25, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1336999408) · Data from the CMS NPPES public registry.