ANDREA NICOLE WALLACE FNP
NPI 1417455809
Nurse Practitioner - Family in Charlotte, NC
About Andrea Nicole Wallace Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA NICOLE WALLACE FNP (NPI 1417455809) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5010264) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted Insurance
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
Andrea Nicole Wallace 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Andrea Wallace's NPI number?
The NPI number for Andrea Wallace is 1417455809. It was assigned to this individual provider in the NPPES registry on January 31, 2018.
Where is Andrea Wallace located?
Andrea Wallace practices at 14214 Ballantyne Lake Rd Ste 100, Charlotte, NC 28277. The listed phone number is (704) 667-2650.
What is Andrea Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrea Wallace enrolled in Medicare?
Yes. Andrea 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.
What insurance does Andrea Wallace accept?
Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Andrea Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Andrea Wallace affiliated with any hospitals?
According to CMS data, Andrea Wallace is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Andrea Wallace was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
