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MARISSA LEANNE WALLACE NP
NPI 1689932360
Nurse Practitioner - Adult Health in New Windsor, NY

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
3078 ROUTE 9W STE 100, NEW WINDSOR, NY 12553(845) 561-3310(845) 561-8728 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jul 19, 2017, Jul 11, 2017 (3 updates tracked since 2017).

About Marissa Leanne Wallace Np NPPES

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

MARISSA LEANNE WALLACE NP (NPI 1689932360) is an individual adult health provider in New Windsor, New York, licensed in New York (F308236) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689932360
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARISSA LEANNE WALLACECredential: NP
Location Address3078 ROUTE 9W STE 100New Windsor, NY 12553-6751
Mailing Address3078 Route 9w, Suite 100New Windsor, NY 12553 · (845) 561-3310 · Fax (845) 561-8728
Phone(845) 561-3310
Fax(845) 561-8728
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 1, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1689932360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F308236
Also ListedRegistered NurseTaxonomy 163W00000X · License 653689-1 (NY)
3078 ROUTE 9W STE 100, New Windsor, NY 12553
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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

Marissa Leanne 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 ID8426322454
PECOS Enrollment IDI20170914002252
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 2

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.

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.
157 services138 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12553 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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 Marissa Wallace's NPI number?

The NPI number for Marissa Wallace is 1689932360. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Marissa Wallace located?

Marissa Wallace practices at 3078 Route 9W Ste 100, New Windsor, NY 12553. The listed phone number is (845) 561-3310.

What is Marissa Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marissa Wallace enrolled in Medicare?

Yes. Marissa 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 Marissa Wallace affiliated with any hospitals?

According to CMS data, Marissa Wallace is affiliated with Vassar Brothers Medical Center and St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Marissa Wallace was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.