KELLI ANN WALLACE NP
NPI 1558009936
Nurse Practitioner - Family in Danville, VA

Q: What is Kelli Wallace's NPI number?

The NPI number for Kelli Wallace is 1558009936. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Q: What is Kelli 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 Kelli Wallace was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 25, 2022PECOS Enrolled

101 HOLBROOK ST, DANVILLE, VA 24541(434) 792-7765 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelli Ann Wallace Np NPPES

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

KELLI ANN WALLACE NP (NPI 1558009936) is an individual family provider in Danville, Virginia, licensed in Virginia (0024184388) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558009936

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLI ANN WALLACECredential: NP

Location Address101 HOLBROOK STDanville, VA 24541-1759

Mailing Address101 Holbrook StDanville, VA 24541-1759

Phone(434) 792-7765

Sole ProprietorNo

Enumeration DateMay 25, 2022

NPPES CertifiedMay 25, 2022

✔ NPI 1558009936 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 VA · 0024184388

101 HOLBROOK ST, Danville, VA 24541

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli Ann Wallace Np 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 24541 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 17

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

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