Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TONIA WALLACE PMHNP-BC
NPI 1700531498
Nurse Practitioner - Psychiatric/Mental Health in Charlotte, NC

Active since February 21, 2022PECOS Enrolled
2818 QUEEN CITY DR STE E, CHARLOTTE, NC 28208(623) 294-8804 Get Directions Write a Review

NPPES record last updated: August 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2026, Nov 20, 2025, Feb 21, 2022 (3 updates tracked since 2022).

About Tonia Wallace Pmhnp-bc NPPES

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

TONIA WALLACE PMHNP-BC (NPI 1700531498) is an individual psychiatric/mental health provider in Charlotte, North Carolina, licensed in North Carolina (5020892) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700531498
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONIA WALLACECredential: PMHNP-BC
Location Address2818 QUEEN CITY DR STE ECharlotte, NC 28208-2736
Mailing Address205 N Michigan Ave Ste 810Chicago, IL 60601-5902 · (623) 294-8804
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 21, 2022
Last NPPES UpdateAugust 15, 20263 updates tracked since enumeration
NPPES CertifiedAugust 15, 2026
NPI 1700531498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · 5020892 Licensed in AZ · 270985
2818 QUEEN CITY DR STE E, Charlotte, NC 28208

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tonia Wallace Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911381496
PECOS Enrollment IDI20241211003518
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28208 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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
2818 QUEEN CITY DR STE E
CHARLOTTE, NC 28208
Community/Behavioral Health
2818 QUEEN CITY DR STE E
CHARLOTTE, NC 28208
Counselor (Professional)
2818 QUEEN CITY DR STE E, 2818- E QUEEN CITY DRIVE
CHARLOTTE, NC 28208
Community/Behavioral Health
2818 QUEEN CITY DR STE E
CHARLOTTE, NC 28208
Home Health
2818 QUEEN CITY DR STE E
CHARLOTTE, NC 28208

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 Tonia Wallace's NPI number?

The NPI number for Tonia Wallace is 1700531498. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Tonia Wallace located?

Tonia Wallace practices at 2818 Queen City Dr Ste E, Charlotte, NC 28208. The listed phone number is (623) 294-8804.

What is Tonia Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tonia Wallace enrolled in Medicare?

Yes. Tonia Wallace is registered in the Medicare PECOS enrollment system.

What insurance does Tonia Wallace accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and UnitedHealthcare list Tonia 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.

When was this NPI record last updated?

The NPPES record for Tonia Wallace was last updated on August 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.