RYAN JAMES WALLACE
NPI 1679021497
Nurse Practitioner - Family in Akron, OH

Q: What is Ryan Wallace's NPI number?

The NPI number for Ryan Wallace is 1679021497. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Q: What is Ryan Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Wallace was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 21, 2016PECOS EnrolledAccepts Medicare Assignment

3535 GRANGER RD, AKRON, OH 44333(330) 331-7207(330) 331-7587 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, Feb 8, 2023, Apr 26, 2022 and 3 more (6 updates tracked since 2016).

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About Ryan James Wallace NPPES

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

RYAN JAMES WALLACE (NPI 1679021497) is an individual family provider in Akron, Ohio, licensed in Ohio (APRN.CNP.020062) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1679021497

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRYAN JAMES WALLACE

Location Address3535 GRANGER RDAkron, OH 44333-1538

Mailing Address3535 Granger RdAkron, OH 44333-1538 · (330) 331-7207 · Fax (330) 331-7587

Phone(330) 331-7207

Fax(330) 331-7587

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 21, 2016

Last NPPES UpdateJune 19, 20236 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1679021497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.020062

Also ListedNurse PractitionerTaxonomy 363L00000X · License 25705 (SC)

3535 GRANGER RD, Akron, OH 44333

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Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-1900 · Phone (843) 792-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Ryan James 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 ID8426331323

PECOS Enrollment IDI20170217001898

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.

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

106 services105 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

38 services38 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Hospital Affiliations CMS Care Compare

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360027

Location1 Akron General AvenueAkron, OH 44307 · Summit County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44333 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 7

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

GHENT FAMILY PRACTICE, INC.

Family Medicine