NICOLE WALLACE DC, AVCA
NPI 1669326773
Chiropractor in Buffalo, NY

Q: What is Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1669326773. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Q: What is Nicole Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wallace was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 25, 2026

2929 MAIN ST STE 2, BUFFALO, NY 14214(716) 472-2370 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nicole Wallace Dc, Avca NPPES

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

NICOLE WALLACE DC, AVCA (NPI 1669326773) is an individual chiropractor in Buffalo, New York, licensed in New Hampshire (1611) and active in the NPI registry since February 2026. She maintains a secondary practice location in Portsmouth and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669326773

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameNICOLE WALLACECredential: DC, AVCA

Location Address2929 MAIN ST STE 2Buffalo, NY 14214-1877

Mailing Address4649 Seneca StWest Seneca, NY 14224-4925

Phone(716) 472-2370

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1669326773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NH · 1611

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2929 MAIN ST STE 2, Buffalo, NY 14214

Open in Google Maps ↗

Secondary Practice Location 1

Location 18 Greenleaf Woods Dr Unit 203Portsmouth, NH 03801-5454 · Phone (603) 431-4200

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Harvard Pilgrim Health Care, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Wallace Dc, Avca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921579335

PECOS Enrollment IDI20260607000125

Medicare Billing Reassignment

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

The Lovelace Institute For Spine And Sports Injuries, Incorporated

409 mi

Sports Physician

12 PORTWALK PLACE
Portsmouth, NH 03801

Reassigned Medicare billing, New Hampshire enrollment
11 clinicians in this Medicare group

NPI 1073869830 (603) 431-4200

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

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 Nicole Wallace's NPI number?

The NPI number for Nicole Wallace is 1669326773. It was assigned to this individual provider in the NPPES registry on February 25, 2026.

Where is Nicole Wallace located?

Nicole Wallace practices at 2929 Main St Ste 2, Buffalo, NY 14214. The listed phone number is (716) 472-2370.

What is Nicole Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicole Wallace enrolled in Medicare?

Yes. Nicole Wallace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wallace reassigns Medicare benefits to The Lovelace Institute For Spine And Sports Injuries, Incorporated (Portsmouth, NH). 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 Nicole Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Wallace accept?

Health plans from Ambetter from NH Healthy Families, Harvard Pilgrim Health Care and WellSense Health Plan list Nicole 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 Nicole Wallace was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.