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TIFFANY MARIE WALLACE
NPI 1609740448
Nurse Practitioner - Acute Care in Zanesville, OH

Active since October 03, 2025PECOS EnrolledAccepts Medicare Assignment
999 GARDEN RD, ZANESVILLE, OH 43701(740) 454-8193 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Marie Wallace NPPES

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

TIFFANY MARIE WALLACE (NPI 1609740448) is an individual acute care provider in Zanesville, Ohio, licensed in Ohio (RN.464702) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609740448
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTIFFANY MARIE WALLACE
Location Address999 GARDEN RDZanesville, OH 43701-1330
Mailing Address222 10th StMalta, OH 43758-9383 · (740) 297-9779
Phone(740) 454-8193
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1609740448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · RN.464702
999 GARDEN RD, Zanesville, OH 43701
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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 and accepts Medicare assignment

Tiffany Marie Wallace 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.

PECOS PAC ID1456831346
PECOS Enrollment IDI20260218003663
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 43701 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 8

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

DR. RAZVI RAZACK MD
Internal Medicine (Gastroenterology)
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
GASTROENTEROLOGY ASSOC OF SE OHIO, INC.
Specialist
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
DR. ANDREW R CHERNICK M.D.
Specialist
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
BANDHUL HANS
Internal Medicine (Gastroenterology)
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
ADRIAN MCCUTCHEON PA-C
Physician Assistant (Medical)
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
MRS. KENDRA JO RUTTER APRN, FNP-C
Nurse Practitioner (Family)
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
DR. VICTOR SZEMETYLO MD
Internal Medicine (Gastroenterology)
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193
EUGENE L YOUNG M.D.
Internal Medicine (Gastroenterology)
999 GARDEN RD
ZANESVILLE, OH 43701
Muskingum County (740) 454-8193

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 Tiffany Wallace's NPI number?

The NPI number for Tiffany Wallace is 1609740448. It was assigned to this individual provider in the NPPES registry on October 3, 2025.

Where is Tiffany Wallace located?

Tiffany Wallace practices at 999 Garden Rd, Zanesville, OH 43701. The listed phone number is (740) 454-8193.

What is Tiffany Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tiffany Wallace enrolled in Medicare?

Yes. Tiffany 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.

When was this NPI record last updated?

The NPPES record for Tiffany Wallace was last updated on October 3, 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.