BRANDY S WALLACE
NPI 1770113441
Nurse Practitioner - Family in New Orleans, LA
About Brandy S Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDY S WALLACE (NPI 1770113441) is an individual family provider in New Orleans, Louisiana, licensed in Louisiana (215880) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Quitman.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandy S Wallace is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Brandy Wallace reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Diberville, MS 39540
- Reassigned Medicare billing, Mississippi enrollment
- 47 clinicians in this Medicare group
Columbia, MS 39429
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 56 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 110 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 48 clinicians in this Medicare group
Petal, MS 39465
- Reassigned Medicare billing, Mississippi enrollment
- 38 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
NEW ORLEANS, LA 70118
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 Brandy Wallace's NPI number?
The NPI number for Brandy Wallace is 1770113441. It was assigned to this individual provider in the NPPES registry on January 22, 2020.
Where is Brandy Wallace located?
Brandy Wallace practices at 6823 Saint Charles Ave Bldg 92, New Orleans, LA 70118. The listed phone number is (504) 865-5255.
What is Brandy Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brandy Wallace enrolled in Medicare?
Yes. Brandy Wallace is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brandy Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Wallace reassigns Medicare benefits to 7 organizations: Maxem Health Urgent Care Diberville (Diberville, MS), Rh Hospitalist Medicine Of Marion General LLC (Columbia, MS), Relias Clinical Decision Specialists Of Hattiesburg, LLC (Hattiesburg, MS), Relias Emergency Medicine Specialists Of Hattiesburg LLC (Hattiesburg, MS), Hattiesburg Urgent Care, LLC (Hattiesburg, MS) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandy Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandy Wallace accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Brandy 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 Brandy Wallace was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Brandy S Wallace · NPI 1770113441
Family physician in New Orleans, Louisiana. Individual provider, active in the CMS NPPES registry since January 22, 2020.
## Identity
- **NPI:** 1770113441 (Entity type: Individual)
- **Enumerated:** January 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 215880 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6823 SAINT CHARLES AVE BLDG 92, New Orleans, LA 70118-5665
- **Phone:** (504) 865-5255
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Maxem Health Urgent Care Diberville (NPI 1265991608, Diberville, MS); Rh Hospitalist Medicine Of Marion General LLC (NPI 1801660170, Columbia, MS); Relias Clinical Decision Specialists Of Hattiesburg, LLC (NPI 1336867415, Hattiesburg, MS); Relias Emergency Medicine Specialists Of Hattiesburg LLC (NPI 1609409440, Hattiesburg, MS); Hattiesburg Urgent Care, LLC (NPI 1164805156, Hattiesburg, MS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1770113441) · Data from the CMS NPPES public registry.