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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: October 18, 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, is affiliated with Genesis Hospital, 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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Medical Group LLC
0.6 mi
General Practice
945 BETHESDA DR STE 200
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 300 clinicians in this Medicare group
NPI 1063663433 (740) 450-6147

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

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.

Which organization bills Medicare for Tiffany Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Wallace reassigns Medicare benefits to Genesis Medical Group LLC (Zanesville, OH). 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 Tiffany Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Wallace accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Tiffany 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.

Is Tiffany Wallace affiliated with any hospitals?

According to CMS data, Tiffany Wallace is affiliated with Genesis Hospital.

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 12 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.