MARGARET WALLACE
NPI 1669445425
Nurse Practitioner - Family in Dorchester, MA
About Margaret Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARGARET WALLACE (NPI 1669445425) is an individual family provider in Dorchester, Massachusetts, licensed in Massachusetts (71860) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Margaret Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Margaret Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dorchester, MA 02125
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: Uphams Corner Health Committee Inc
- 55 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DORCHESTER, MA 02125
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 Margaret Wallace's NPI number?
The NPI number for Margaret Wallace is 1669445425. It was assigned to this individual provider in the NPPES registry on February 10, 2006.
Where is Margaret Wallace located?
Margaret Wallace practices at 415 Columbia Rd, Dorchester, MA 02125. The listed phone number is (617) 740-8077.
What is Margaret Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Margaret Wallace enrolled in Medicare?
Yes. Margaret Wallace is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Margaret Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Wallace reassigns Medicare benefits to Upham's Corner Health Committee, Inc. (Dorchester, MA). 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 Margaret Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Margaret Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Margaret Wallace · NPI 1669445425
Family physician in Dorchester, Massachusetts. Individual provider, active in the CMS NPPES registry since February 10, 2006.
## Identity
- **NPI:** 1669445425 (Entity type: Individual)
- **Enumerated:** February 10, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71860 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 COLUMBIA RD, Dorchester, MA 02125-2424
- **Phone:** (617) 740-8077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Upham's Corner Health Committee, Inc. (NPI 1780780486, Dorchester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1669445425) · Data from the CMS NPPES public registry.