MR. WILLIAM S WALLACE FNP
NPI 1457334633
Nurse Practitioner - Family in Memphis, TN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since November 22, 2005PECOS Enrolled

90.45/100

CMS Quality Rating

1200 PEABODY AVE, MEMPHIS, TN 38104(901) 272-0003(901) 272-7179 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mr. William S Wallace Fnp NPPES

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

MR. WILLIAM S WALLACE FNP (NPI 1457334633) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (RN108204) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457334633

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. WILLIAM S WALLACECredential: FNP

Location Address1200 PEABODY AVEMemphis, TN 38104-4506

Mailing AddressPo Box 41527Memphis, TN 38174-1527 · (901) 272-0003 · Fax (901) 272-7179

Phone(901) 272-0003

Fax(901) 272-7179

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateMarch 5, 2010

✔ NPI 1457334633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · RN108204

Also ListedRegistered NurseTaxonomy 163W00000X · License 108204 (TN)

1200 PEABODY AVE, Memphis, TN 38104

Open in Google Maps ↗

Other Identifiers 5

Medicaid3388963TN

Other000000028284TN · Tenncare Tlc

Other4070262TN · Blue Cross

Medicare UPINQ03731TN

Medicare ID-Type Unspecified3349986TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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)

Mr. William S Wallace Fnp 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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.

45 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

32 services22 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

90.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.8

Improvement Activities

Cost

64.69

Other Providers at the Same Location NPPES 18

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

DR. VERONICA M SWANNIGAN MD

Internal Medicine