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DANIELLE MARIE WALLACE
NPI 1750108890
Nurse Practitioner - Family in Glen Burnie, MD

Active since September 20, 2024PECOS Enrolled
6720 RITCHIE HWY STE F, GLEN BURNIE, MD 21061(667) 406-0782 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Danielle Marie Wallace NPPES

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

DANIELLE MARIE WALLACE (NPI 1750108890) is an individual family provider in Glen Burnie, Maryland, licensed in Maryland (R268707) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750108890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE MARIE WALLACE
Location Address6720 RITCHIE HWY STE FGlen Burnie, MD 21061-2892
Mailing Address338 Jennings RdSeverna Park, MD 21146-1802 · (410) 913-7927
Phone(667) 406-0782
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1750108890 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 MD · R268707
6720 RITCHIE HWY STE F, Glen Burnie, MD 21061
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Marie Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274047048
PECOS Enrollment IDI20250706000103, I20250706000110
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 21061 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

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 Danielle Wallace's NPI number?

The NPI number for Danielle Wallace is 1750108890. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Danielle Wallace located?

Danielle Wallace practices at 6720 Ritchie Hwy Ste F, Glen Burnie, MD 21061. The listed phone number is (667) 406-0782.

What is Danielle Wallace's specialty?

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

Is Danielle Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Danielle Wallace was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.