PATRICIA SUE WALLACE APRN
NPI 1730683301
Nurse Practitioner - Family in Lexington, KY

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
496 SOUTHLAND DR, LEXINGTON, KY 40503(859) 288-2425(859) 288-7510 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2022, Sep 17, 2022, Jul 18, 2022 and 1 more (4 updates tracked since 2018).

About Patricia Sue Wallace Aprn NPPES

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

PATRICIA SUE WALLACE APRN (NPI 1730683301) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3012119) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730683301
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA SUE WALLACECredential: APRN
Location Address496 SOUTHLAND DRLexington, KY 40503-1827
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2425 · Fax (859) 288-7510
Fax(859) 288-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1730683301 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 KY · 3012119
496 SOUTHLAND DR, Lexington, KY 40503

Secondary Practice Locations 3

Location 11650 Bryan Station RdLexington, KY 40505-2138 · Phone (859) 977-2096
Location 2122 Arceme AveLexington, KY 40505-3502 · Phone (859) 288-2425 · Fax (859) 288-7510
Location 3615 E Brannon RdNicholasville, KY 40356-7918 · Phone (859) 278-5007

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 and accepts Medicare assignment

Patricia Sue Wallace Aprn 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 ID9537422571
PECOS Enrollment IDI20180404002048
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 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Social Worker (Clinical)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Social Worker (Clinical)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Social Worker (Clinical)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Dentist (General Practice)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Dentist (General Practice)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Social Worker
496 SOUTHLAND DR
LEXINGTON, KY 40503
Marriage & Family Therapist
496 SOUTHLAND DR
LEXINGTON, KY 40503

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 Patricia Wallace's NPI number?

The NPI number for Patricia Wallace is 1730683301. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Patricia Wallace located?

Patricia Wallace practices at 496 Southland Dr, Lexington, KY 40503. The listed phone number is (859) 288-2425.

What is Patricia Wallace's specialty?

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

Is Patricia Wallace enrolled in Medicare?

Yes. Patricia 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 Patricia Wallace accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Patricia 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 Patricia Wallace was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.