KASIA LAYNE WALLACE-SHAW MD
NPI 1679068092
Pediatrics in Palm Bay, FL

Q: What is Kasia Wallace-shaw's NPI number?

The NPI number for Kasia Wallace-shaw is 1679068092. It was assigned to this individual provider in the NPPES registry on June 27, 2018. The provider is also known as Kasia Layne Wallace.

Q: What is Kasia Wallace-shaw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 27, 2018PECOS Enrolled

5270 BABCOCK ST NE STE 1, PALM BAY, FL 32905(321) 241-6800(321) 241-6890 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, Jun 29, 2021, Feb 25, 2019 and 1 more (4 updates tracked since 2018).

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About Kasia Layne Wallace-shaw Md NPPES

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

KASIA LAYNE WALLACE-SHAW MD (NPI 1679068092) is an individual pediatrics provider in Palm Bay, Florida, licensed in Florida (ME148403) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679068092

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKASIA LAYNE WALLACE-SHAWCredential: MD

Location Address5270 BABCOCK ST NE STE 1Palm Bay, FL 32905-4616

Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937

Phone(321) 241-6800

Fax(321) 241-6890

Sole ProprietorNo

Enumeration DateJune 27, 2018

Last NPPES UpdateMay 17, 20244 updates tracked since enumeration

NPPES CertifiedMay 17, 2024

✔ NPI 1679068092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME148403

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5270 BABCOCK ST NE STE 1, Palm Bay, FL 32905

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Other Names 1

Former Name (1)Kasia Layne Wallace

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kasia Layne Wallace-shaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32905 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

MRS. JESSICA REGAN P.A.

Physician Assistant