MRS. SHARON ROSE WALLACE-WILSON
NPI 1699323287
Nurse Practitioner - Family in Miramar, FL

Active since August 28, 2019PECOS EnrolledAccepts Medicare Assignment
8800 ANDORA DR, MIRAMAR, FL 33025(305) 335-2603 Get Directions Write a Review

NPPES record last updated: March 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2023, Aug 28, 2019 (2 updates tracked since 2019).

About Mrs. Sharon Rose Wallace-wilson NPPES

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

MRS. SHARON ROSE WALLACE-WILSON (NPI 1699323287) is an individual family provider in Miramar, Florida, licensed in Florida (11003939) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699323287
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHARON ROSE WALLACE-WILSON
Location Address8800 ANDORA DRMiramar, FL 33025-2559
Mailing Address8800 Andora DrMiramar, FL 33025-2559 · (305) 335-2603
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 28, 2019
Last NPPES UpdateMarch 16, 20232 updates tracked since enumeration
NPPES CertifiedMarch 16, 2023
✔ NPI 1699323287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11003939
Also ListedRegistered NurseTaxonomy 163W00000X · License 9175068 (FL)
8800 ANDORA DR, Miramar, FL 33025

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

Mrs. Sharon Rose Wallace-wilson 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 ID941666705
PECOS Enrollment IDI20230520000102
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 Reassignment

Medicare enrollment records show Sharon Wallace-wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
222 S FLAMINGO RD
Pembroke Pines, FL 33027
  • Reassigned Medicare billing, Florida enrollment
  • 11 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.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100281
Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33025 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Sharon Wallace-wilson's NPI number?

The NPI number for Sharon Wallace-wilson is 1699323287. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Sharon Wallace-wilson located?

Sharon Wallace-wilson practices at 8800 Andora Dr, Miramar, FL 33025. The listed phone number is (305) 335-2603.

What is Sharon Wallace-wilson's specialty?

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

Is Sharon Wallace-wilson enrolled in Medicare?

Yes. Sharon Wallace-wilson 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 organization bills Medicare for Sharon Wallace-wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Wallace-wilson reassigns Medicare benefits to Cleopatra Gordon Pusey, MD P.A. (Pembroke Pines, FL). The 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 Sharon Wallace-wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Wallace-wilson accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Sharon Wallace-wilson 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 Sharon Wallace-wilson affiliated with any hospitals?

According to CMS data, Sharon Wallace-wilson is affiliated with Memorial Hospital West.

When was this NPI record last updated?

The NPPES record for Sharon Wallace-wilson was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.