SARA DAVIS WALLACE FNP-BC
NPI 1750908174
Nurse Practitioner - Family in Florence, SC

Q: What is Sara Wallace's NPI number?

The NPI number for Sara Wallace is 1750908174. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Q: What is Sara Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sara Wallace was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 01, 2020PECOS EnrolledAccepts Medicare Assignment

600 E PALMETTO ST, FLORENCE, SC 29506(843) 667-9414 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2025, Jul 15, 2020, Jul 1, 2020 (3 updates tracked since 2020).

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About Sara Davis Wallace Fnp-bc NPPES

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

SARA DAVIS WALLACE FNP-BC (NPI 1750908174) is an individual family provider in Florence, South Carolina, licensed in South Carolina (23661) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and maintains a secondary practice location in Lumberton.

NPPES Registry Identity

NPI1750908174

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARA DAVIS WALLACECredential: FNP-BC

Location Address600 E PALMETTO STFlorence, SC 29506-2851

Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490

Phone(843) 667-9414

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 1, 2020

Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1750908174 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 SC · 23661

600 E PALMETTO ST, Florence, SC 29506

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Secondary Practice Location 1

Location 14760 Independence DrLumberton, NC 28358-2328 · Phone (910) 738-9414 · Fax (910) 738-1012

Accepted Insurance

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

Sara Davis Wallace Fnp-bc 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 ID1850711516

PECOS Enrollment IDI20221115001877

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.

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.

195 services102 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

139 services91 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.

32 services28 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340050

Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29506 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

DR. NIKUNJKUMAR TRAMBAKLAL MODI MD

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