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

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: August 16, 2026.

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.

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
Quality92.8
Improvement Activities40
Cost64.69

Other Providers at the Same Location NPPES 17

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

SANDRA BRAZZELL LMSW
Social Worker
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 567-3554
JAMICA TAYLOR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 707-6861
DR. DAVID K JENNINGS MD
Internal Medicine
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 272-0003
DR. ELLEN BUCHIGNANI M.D.
Surgery
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 272-0003
EUCHARIA DURU MSW
Social Worker
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 567-3554
NADIA GIVENS MA
Counselor
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 567-3554
MS. SHARON MOORE D.PH
Pharmacist
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 230-3919
BRANDY HUFFER MA
Counselor (Mental Health)
1200 PEABODY AVE
MEMPHIS, TN 38104
Shelby County (901) 567-3554

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 William Wallace's NPI number?

The NPI number for William Wallace is 1457334633. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is William Wallace located?

William Wallace practices at 1200 Peabody Ave, Memphis, TN 38104. The listed phone number is (901) 272-0003.

What is William Wallace's specialty?

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

Is William Wallace enrolled in Medicare?

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

What insurance does William Wallace accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list William 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.

When was this NPI record last updated?

The NPPES record for William Wallace was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.