MARGARET WALLACE NP
NPI 1356885347
Nurse Practitioner - Acute Care in Westerly, RI

Q: What is Margaret Wallace's NPI number?

The NPI number for Margaret Wallace is 1356885347. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Q: What is Margaret Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Margaret Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 09, 2016PECOS EnrolledAccepts Medicare Assignment

25 WELLS ST, WESTERLY, RI 02891(401) 596-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

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About Margaret Wallace Np NPPES

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

MARGARET WALLACE NP (NPI 1356885347) is an individual acute care provider in Westerly, Rhode Island, licensed in Rhode Island (APRN01460) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356885347

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMARGARET WALLACECredential: NP

Location Address25 WELLS STWesterly, RI 02891-2922

Mailing Address25 Wells StWesterly, RI 02891-2922 · (401) 596-6000

Phone(401) 596-6000

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 9, 2016

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1356885347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in RI · APRN01460✔ Licensed in CT · 6658

25 WELLS ST, Westerly, RI 02891

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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

Margaret Wallace Np 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 ID6901183367

PECOS Enrollment IDI20170512000325, I20190423000749

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

150 services108 patients

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.

146 services71 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

54 services44 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

50 services34 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

43 services14 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

30 services30 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services18 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

22 services15 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

20 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

14 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410013

Location25 Wells StreetWesterly, RI 02891 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02891 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

94%182 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. KEVIN JAMES TORRES DO

Emergency Medicine

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 596-6000

THE WESTERLY HOSPITAL

General Acute Care Hospital

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 596-6000

ELIZABETH GREENE

Dietitian, Registered

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 596-6000

DR. BRIAN JAMES MUSIAK PHARM.D

Pharmacist (Pharmacotherapy)

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 348-3450

JEANNE P. ANSEL PA

Physician Assistant

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 596-6000

ATLANTIC MEDICAL GROUP INC.

Surgery

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 596-6000

MRS. LINDA BROCATO RPH

Pharmacist

25 WELLS ST, WESTERLY HOSPITAL
WESTERLY, RI 02891

Washington County (401) 348-3351

DR. SANFORD EDWARDS MD

Surgery

25 WELLS ST
WESTERLY, RI 02891

Washington County (401) 315-5595

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 Margaret Wallace's NPI number?

The NPI number for Margaret Wallace is 1356885347. It was assigned to this individual provider in the NPPES registry on December 9, 2016.

Where is Margaret Wallace located?

Margaret Wallace practices at 25 Wells St, Westerly, RI 02891. The listed phone number is (401) 596-6000.

What is Margaret Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Margaret Wallace enrolled in Medicare?

Yes. Margaret 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 Margaret Wallace affiliated with any hospitals?

According to CMS data, Margaret Wallace is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.