MADISON WALLACE APN
NPI 1740703180
Nurse Practitioner - Family in Covington, TN

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
1995 HIGHWAY 51 S STE 204, COVINGTON, TN 38019(901) 475-5305(901) 475-5307 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2024, May 18, 2023, Jul 16, 2019 and 1 more (4 updates tracked since 2017).

About Madison Wallace Apn NPPES

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

MADISON WALLACE APN (NPI 1740703180) is an individual family provider in Covington, Tennessee, licensed in Tennessee (22760) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Tipton, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740703180
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISON WALLACECredential: APN
Location Address1995 HIGHWAY 51 S STE 204Covington, TN 38019-3655
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401 · (901) 227-7015 · Fax (901) 227-8591
Fax(901) 475-5307
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 18, 2017
Last NPPES UpdateApril 17, 20244 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1740703180 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 TN · 22760
1995 HIGHWAY 51 S STE 204, Covington, TN 38019

Other Names 1

Former Name (1)Madison Johnson

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

Madison Wallace Apn 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 ID7719214949
PECOS Enrollment IDI20190812001875
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 2

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.

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.
39 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38019 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

Family Medicine
1995 HIGHWAY 51 S STE 204
COVINGTON, TN 38019

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 Madison Wallace's NPI number?

The NPI number for Madison Wallace is 1740703180. It was assigned to this individual provider in the NPPES registry on July 18, 2017. The provider is also known as Madison Johnson.

Where is Madison Wallace located?

Madison Wallace practices at 1995 Highway 51 S Ste 204, Covington, TN 38019. The listed phone number is (901) 475-5305.

What is Madison Wallace's specialty?

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

Is Madison Wallace enrolled in Medicare?

Yes. Madison 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 Madison Wallace accept?

Health plans from Arkansas Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Health Advantage, Octave and Oscar Health Plan, Inc. and 1 other insurer list Madison 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.

Is Madison Wallace affiliated with any hospitals?

According to CMS data, Madison Wallace is affiliated with Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Madison Wallace was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.