MAGGIE MAE WALLACE
NPI 1366098642
Nurse Practitioner - Family in Gulf Shores, AL

Active since August 13, 2019PECOS Enrolled
87.47/100
CMS Quality Rating
200 OFFICE PARK DR, GULF SHORES, AL 36542(251) 968-7379(251) 968-5960 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Aug 13, 2019 (2 updates tracked since 2019).

About Maggie Mae Wallace NPPES

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

MAGGIE MAE WALLACE (NPI 1366098642) is an individual family provider in Gulf Shores, Alabama, licensed in Alabama (1-182953) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366098642
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAGGIE MAE WALLACE
Location Address200 OFFICE PARK DRGulf Shores, AL 36542-3432
Mailing Address200 Office Park DrGulf Shores, AL 36542-3432 · (512) 968-7379 · Fax (251) 968-5960
Fax(251) 968-5960
Sole ProprietorNo
Enumeration DateAugust 13, 2019
Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
NPI 1366098642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AL · 1-182953 Licensed in CT · 8373
200 OFFICE PARK DR, Gulf Shores, AL 36542

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maggie Mae Wallace 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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services50 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
36 services11 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.
28 services26 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
15 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36542 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
200 OFFICE PARK DR
GULF SHORES, AL 36542
Nurse Practitioner (Family)
200 OFFICE PARK DR
GULF SHORES, AL 36542
Behavior Technician
200 OFFICE PARK DR
GULF SHORES, AL 36542
Behavior Analyst
200 OFFICE PARK DR
GULF SHORES, AL 36542
Internal Medicine
200 OFFICE PARK DR
GULF SHORES, AL 36542

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 Maggie Wallace's NPI number?

The NPI number for Maggie Wallace is 1366098642. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Maggie Wallace located?

Maggie Wallace practices at 200 Office Park Dr, Gulf Shores, AL 36542. The listed phone number is (251) 968-7379.

What is Maggie Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maggie Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Maggie Wallace was last updated on November 13, 2023. 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.