DEANNA WALLACE NP
NPI 1609222579
Nurse Practitioner - Family in Chattanooga, TN
About Deanna Wallace Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEANNA WALLACE NP (NPI 1609222579) is an individual family provider in Chattanooga, Tennessee, licensed in Tennessee (42090) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Deanna Wallace Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Deanna Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Carle Foundation Hospital
Acute Care Hospitals · Urbana, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37404 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.
CHATTANOOGA, TN 37404
CHATTANOOGA, TN 37404
CHATTANOOGA, TN 37404
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 Deanna Wallace's NPI number?
The NPI number for Deanna Wallace is 1609222579. It was assigned to this individual provider in the NPPES registry on May 10, 2016. The provider is also known as Deanna Brown.
Where is Deanna Wallace located?
Deanna Wallace practices at 2501 Citico Ave, Chattanooga, TN 37404. The listed phone number is (423) 697-2000.
What is Deanna Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Deanna Wallace enrolled in Medicare?
Yes. Deanna 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.
Which organization bills Medicare for Deanna Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deanna Wallace reassigns Medicare benefits to Carle Health Medical Group (Urbana, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deanna Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Deanna Wallace affiliated with any hospitals?
According to CMS data, Deanna Wallace is affiliated with Carle Foundation Hospital.
When was this NPI record last updated?
The NPPES record for Deanna Wallace was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.
# Deanna Wallace, NP · NPI 1609222579
Family physician in Chattanooga, Tennessee. Individual provider, active in the CMS NPPES registry since May 10, 2016.
## Identity
- **NPI:** 1609222579 (Entity type: Individual)
- **Enumerated:** May 10, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 42090 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2501 CITICO AVE, Chattanooga, TN 37404-1127
- **Phone:** (423) 697-2000 · **Fax:** (423) 697-2320
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carle Health Medical Group (NPI 1154653947, Urbana, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 21, 2026
- **Other identifiers:** Other 42090 (TN); Other P01657319 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1609222579) · Data from the CMS NPPES public registry.