KERRI WALLACE DNP, FNP-C - NPI 1407516669 - Nurse Practitioner in Athens, AL

Q: What is Kerri Wallace's NPI number?

The NPI number for Kerri Wallace is 1407516669. It was assigned to this individual provider in the NPPES registry on December 29, 2021.

Q: What is Kerri Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerri Wallace was last updated on September 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kerri Wallace Dnp, Fnp-c NPPES

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

KERRI WALLACE DNP, FNP-C (NPI 1407516669) is an individual family provider in Athens, Alabama, licensed in Alabama (1-159583) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407516669

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKERRI WALLACECredential: DNP, FNP-C

Location Address707 W MARKET ST STE CAthens, AL 35611-2463

Mailing Address707 W Market St Ste CAthens, AL 35611-2463 · (256) 444-1815 · Fax (256) 444-0385

Phone(256) 444-1815

Fax(256) 444-0385

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 29, 2021

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1407516669 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

License✔ Licensed in AL · 1-159583

707 W MARKET ST STE C, Athens, AL 35611

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerri Wallace Dnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719371541

PECOS Enrollment IDI20220222000205

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

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 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.

20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35611 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.

Other Providers at the Same Location NPPES 10

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

DR. CASSIDY J KOONCE M.D.

Surgery