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VICKI WALLACE NP
NPI 1689640195
Nurse Practitioner - Acute Care in Fredericksburg, VA

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
1101 SAM PERRY BLVD.,, SUITE 211, FREDERICKSBURG, VA 22401(540) 372-7792 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vicki Wallace Np NPPES

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

VICKI WALLACE NP (NPI 1689640195) is an individual acute care provider in Fredericksburg, Virginia, licensed in Virginia (0024166526) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1689640195
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameVICKI WALLACECredential: NP
Location Address1101 SAM PERRY BLVD.,, SUITE 211Fredericksburg, VA 22401
Mailing Address1101 Sam Perry Blvd, Suite 211Fredericksburg, VA 22401 · (540) 372-7792 · Fax (540) 372-2073
Phone(540) 372-7792
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 24, 2006
Last NPPES UpdateFebruary 1, 2017
✔ NPI 1689640195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0024166526
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN67063 (DC)
1101 SAM PERRY BLVD.,, Fredericksburg, VA 22401
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Other Identifiers 6

Medicare ID-Type UnspecifiedP00205521DC · Railroad Medicare
Medicare UPINQ18521DC
Medicare ID-Type Unspecified014512W91DC · Trailblazer
Medicaid036084100DC
Medicare PINMC12835VA
Medicaid405959000DC

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

Vicki Wallace Np 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 ID9436129574
PECOS Enrollment IDI20090330000415
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Vicki Wallace's NPI number?

The NPI number for Vicki Wallace is 1689640195. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Vicki Wallace located?

Vicki Wallace practices at 1101 Sam Perry Blvd., Suite 211, Fredericksburg, VA 22401. The listed phone number is (540) 372-7792.

What is Vicki Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Vicki Wallace enrolled in Medicare?

Yes. Vicki 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.

Is Vicki Wallace affiliated with any hospitals?

According to CMS data, Vicki Wallace is affiliated with Mary Washington Hospital.

When was this NPI record last updated?

The NPPES record for Vicki Wallace was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.