JENA WALLACE
NPI 1699122820
Nurse Practitioner - Family in Lenoir, NC

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
322 MULBERRY ST SW STE A, LENOIR, NC 28645(828) 757-6460(828) 759-4901 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2021, Jul 9, 2019, Jan 11, 2017 and 1 more (4 updates tracked since 2016).

About Jena Wallace NPPES

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

JENA WALLACE (NPI 1699122820) is an individual family provider in Lenoir, North Carolina, licensed in North Carolina (253837) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Valdese.

NPPES Registry Identity

NPI1699122820
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENA WALLACE
Location Address322 MULBERRY ST SW STE ALenoir, NC 28645-5703
Mailing Address1853 18th Street Ct NeHickory, NC 28601-0533 · (860) 334-2475
Fax(828) 759-4901
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateMarch 17, 20214 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1699122820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 253837
322 MULBERRY ST SW STE A, Lenoir, NC 28645

Secondary Practice Location 1

Location 1319 Springwood Dr NEValdese, NC 28690-8710 · Phone (828) 874-2251

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jena 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 ID6901193838
PECOS Enrollment IDI20250714002617
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jena Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
322 MULBERRY ST SW, STE A
Lenoir, NC 28645
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1861268245 (North Carolina)
  • 313 clinicians in this Medicare group
General Practice
555 S MANGUM ST STE 100
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 60 clinicians in this Medicare group
Critical Access
1115 LANE 12
Lovell, WY 82431
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1750485793 (Wyoming)
  • 50 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
50 services23 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
48 services29 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

North Big Horn Hospital District

Critical Access Hospitals · Lovell, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531309
Location1115 Lane 12Lovell, WY 82431 · Big Horn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28645 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

Internal Medicine
322 MULBERRY ST SW STE A
LENOIR, NC 28645
Family Medicine
322 MULBERRY ST SW STE A
LENOIR, NC 28645
Physician Assistant
322 MULBERRY ST SW STE A
LENOIR, NC 28645
Internal Medicine
322 MULBERRY ST SW STE A
LENOIR, NC 28645

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 Jena Wallace's NPI number?

The NPI number for Jena Wallace is 1699122820. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Jena Wallace located?

Jena Wallace practices at 322 Mulberry St SW Ste A, Lenoir, NC 28645. The listed phone number is (828) 757-6460.

What is Jena Wallace's specialty?

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

Is Jena Wallace enrolled in Medicare?

Yes. Jena 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.

Which organizations bill Medicare for Jena Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jena Wallace reassigns Medicare benefits to 3 organizations: Caldwell Memorial Hospital, Inc (Lenoir, NC), Careconnectmd North Carolina P.C. (Durham, NC) and North Big Horn Hospital District (Lovell, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jena Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jena Wallace accept?

Health plans from Blue Cross Blue Shield of Wyoming, PacificSource Health Plans and UnitedHealthcare list Jena Wallace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jena Wallace affiliated with any hospitals?

According to CMS data, Jena Wallace is affiliated with Billings Clinic and North Big Horn Hospital District.

When was this NPI record last updated?

The NPPES record for Jena Wallace was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.