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AUDREY JOANN WALLACE FNP, ENP
NPI 1710518071
Nurse Practitioner in Amarillo, TX

Active since January 27, 2020PECOS EnrolledAccepts Medicare Assignment
1600 WALLACE BLVD, AMARILLO, TX 79106(806) 212-5750 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 10, 2025, Feb 6, 2025, Jan 27, 2020 (3 updates tracked since 2020).

About Audrey Joann Wallace Fnp, Enp NPPES

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

AUDREY JOANN WALLACE FNP, ENP (NPI 1710518071) is an individual nurse practitioner in Amarillo, Texas, licensed in Texas (AP144794) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Amarillo, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1710518071
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAUDREY JOANN WALLACECredential: FNP, ENP
Location Address1600 WALLACE BLVDAmarillo, TX 79106-1799
Mailing Address1600 Wallace BlvdAmarillo, TX 79106-1799 · (806) 212-5750
Phone(806) 212-5750
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 27, 2020
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1710518071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP144794
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License AP144794 (TX)
1600 WALLACE BLVD, Amarillo, TX 79106
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Secondary Practice Location 1

Location 11501 S Coulter StAmarillo, TX 79106-1770 · Phone (806) 354-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Audrey Joann Wallace Fnp, Enp 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 ID4082044144
PECOS Enrollment IDI20200414001755
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services85 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

JAMES HUDDLESTON CT
Specialist/Technologist, Pathology (Cytotechnology)
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 212-5942
PHILLIP VOGLER PA-C
Physician Assistant
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 355-3352
DAVID ROSS TAYLOR CRNA
Nurse Anesthetist, Certified Registered
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 212-2000
JOSEPH D HOLLINGSWORTH M.D.
Emergency Medicine
1600 WALLACE BLVD, BAPTIST SAINT ANTHONY'S HOSPITAL
AMARILLO, TX 79106
Potter County (806) 212-2000
DR. HIEP TRINH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 212-2000
DR. MICHAEL JOHN LAMANTEER MD
Hospitalist
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 212-2129
MIKE PRESTON BERRY JR. M.D.
Emergency Medicine
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 212-2000
STEPHANIE ESCAMILLA ACHPN
Nurse Practitioner (Family)
1600 WALLACE BLVD
AMARILLO, TX 79106
Potter County (806) 212-2129

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 Audrey Wallace's NPI number?

The NPI number for Audrey Wallace is 1710518071. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Audrey Wallace located?

Audrey Wallace practices at 1600 Wallace Blvd, Amarillo, TX 79106. The listed phone number is (806) 212-5750.

What is Audrey Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Audrey Wallace enrolled in Medicare?

Yes. Audrey 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.

What insurance does Audrey Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas list Audrey 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 Audrey Wallace was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.