ISSAIAH WALLACE PMHNP
NPI 1508422338
Nurse Practitioner - Psychiatric/Mental Health in Weston, WV
About Issaiah Wallace Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISSAIAH WALLACE PMHNP (NPI 1508422338) is an individual psychiatric/mental health provider in Weston, West Virginia, licensed in West Virginia (102650) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Clare, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Issaiah Wallace Pmhnp 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 26452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WESTON, WV 26452
WESTON, WV 26452
WESTON, WV 26452
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 Issaiah Wallace's NPI number?
The NPI number for Issaiah Wallace is 1508422338. It was assigned to this individual provider in the NPPES registry on May 16, 2019.
Where is Issaiah Wallace located?
Issaiah Wallace practices at 936 Sharpe Hospital Rd, Weston, WV 26452. The listed phone number is (304) 269-1210.
What is Issaiah Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Issaiah Wallace enrolled in Medicare?
Yes. Issaiah 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 Issaiah Wallace accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Issaiah 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 Issaiah Wallace was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Issaiah Wallace, PMHNP · NPI 1508422338
Psychiatric/Mental Health physician in Weston, West Virginia. Individual provider, active in the CMS NPPES registry since May 16, 2019.
## Identity
- **NPI:** 1508422338 (Entity type: Individual)
- **Enumerated:** May 16, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 102650 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 936 SHARPE HOSPITAL RD, Weston, WV 26452-8550
- **Phone:** (304) 269-1210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508422338) · Data from the CMS NPPES public registry.