BONNIE WALLACE ANP-BC
NPI 1770844300
Nurse Practitioner - Adult Health in Nashville, TN
About Bonnie Wallace Anp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONNIE WALLACE ANP-BC (NPI 1770844300) is an individual adult health provider in Nashville, Tennessee, licensed in Tennessee (APN0000016620) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bonnie Wallace Anp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Bonnie Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37205
- Reassigned Medicare billing, Tennessee enrollment
- 1,304 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Georgia, Kentucky and Tennessee enrollments
- Also billed through NPI 1134739089 (Tennessee)
- 129 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 37205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NASHVILLE, TN 37205
NASHVILLE, TN 37205
NASHVILLE, TN 37205
NASHVILLE, TN 37205
NASHVILLE, TN 37205
NASHVILLE, TN 37205
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 Bonnie Wallace's NPI number?
The NPI number for Bonnie Wallace is 1770844300. It was assigned to this individual provider in the NPPES registry on May 30, 2012.
Where is Bonnie Wallace located?
Bonnie Wallace practices at 4230 Harding Pike Ste 330, Nashville, TN 37205. The listed phone number is (615) 269-4545.
What is Bonnie Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Bonnie Wallace enrolled in Medicare?
Yes. Bonnie 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.
Which organizations bill Medicare for Bonnie Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Wallace reassigns Medicare benefits to 2 organizations: Saint Thomas Medical Partners (Nashville, TN) and Monogram Health Professional Services PC (Brentwood, TN). 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 Bonnie Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bonnie Wallace was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Bonnie Wallace, ANP-BC · NPI 1770844300
Adult Health physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since May 30, 2012.
## Identity
- **NPI:** 1770844300 (Entity type: Individual)
- **Enumerated:** May 30, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** APN0000016620 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 4230 HARDING PIKE, STE 330, Nashville, TN 37205-2013
- **Phone:** (615) 269-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Thomas Medical Partners (NPI 1881981033, Nashville, TN); Monogram Health Professional Services PC (NPI 1255930228, Brentwood, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 30, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1770844300) · Data from the CMS NPPES public registry.