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MS. CAMILLE ANNE WALLACE FNP
NPI 1720829468
Nurse Practitioner - Family in Woodstock, NY

Active since June 05, 2024PECOS EnrolledAccepts Medicare Assignment
404 ZENA RD STE 1, WOODSTOCK, NY 12498(845) 679-5271 Get Directions Write a Review

NPPES record last updated: July 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 4, 2024, Jun 5, 2024 (2 updates tracked since 2024).

About Ms. Camille Anne Wallace Fnp NPPES

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

MS. CAMILLE ANNE WALLACE FNP (NPI 1720829468) is an individual family provider in Woodstock, New York, licensed in New York (354716) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720829468
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CAMILLE ANNE WALLACECredential: FNP
Location Address404 ZENA RD STE 1Woodstock, NY 12498-2627
Mailing Address45 Birch St Apt 18kKingston, NY 12401-1077 · (845) 489-1073
Phone(845) 679-5271
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 5, 2024
Last NPPES UpdateJuly 4, 20242 updates tracked since enumeration
NPPES CertifiedJuly 4, 2024
✔ NPI 1720829468 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 NY · 354716
404 ZENA RD STE 1, Woodstock, NY 12498
Open in Google Maps ↗

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

Ms. Camille Anne Wallace Fnp 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 ID749712511
PECOS Enrollment IDI20241017002453
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.

Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
11 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 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

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12498 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.

Other Providers at the Same Location NPPES 2

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

KAITLYN PAIGE WESOLOWSKI PA-C
Physician Assistant
404 ZENA RD STE 1
WOODSTOCK, NY 12498
Ulster County (845) 679-5271
ERIN PATRICIA HOGAN
Nurse Practitioner (Adult Health)
404 ZENA RD STE 1
WOODSTOCK, NY 12498
Ulster County (845) 679-5271

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 Camille Wallace's NPI number?

The NPI number for Camille Wallace is 1720829468. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Camille Wallace located?

Camille Wallace practices at 404 Zena Rd Ste 1, Woodstock, NY 12498. The listed phone number is (845) 679-5271.

What is Camille Wallace's specialty?

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

Is Camille Wallace enrolled in Medicare?

Yes. Camille 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 Camille Wallace affiliated with any hospitals?

According to CMS data, Camille Wallace is affiliated with Vassar Brothers Medical Center and Healthalliance Hospital Marys Avenue Campus.

When was this NPI record last updated?

The NPPES record for Camille Wallace was last updated on July 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.