ASHLEY LYNETTE WALLACE MSN, APRN, FNP-C,
NPI 1679133573
Nurse Practitioner - Primary Care in Fort Worth, TX
About Ashley Lynette Wallace Msn, Aprn, Fnp-c, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY LYNETTE WALLACE MSN, APRN, FNP-C, (NPI 1679133573) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (PENDING) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Ashley Lynette Wallace Msn, Aprn, Fnp-c, 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Ashley Wallace's NPI number?
The NPI number for Ashley Wallace is 1679133573. It was assigned to this individual provider in the NPPES registry on June 13, 2019. The provider is also known as Ashley Lynette Bone Msn, Aprn, Fnp-C.
Where is Ashley Wallace located?
Ashley Wallace practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 922-4630.
What is Ashley Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Ashley Wallace enrolled in Medicare?
Yes. Ashley 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.
When was this NPI record last updated?
The NPPES record for Ashley Wallace was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ashley Lynette Wallace, MSN, APRN, FNP-C, · NPI 1679133573
Primary Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 13, 2019.
## Identity
- **NPI:** 1679133573 (Entity type: Individual)
- **Enumerated:** June 13, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** PENDING (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 8TH AVE, Fort Worth, TX 76104-4110
- **Phone:** (817) 922-4630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 7, 2020
- **Other identifiers:** Other AP141896 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1679133573) · Data from the CMS NPPES public registry.