BONNIE WALLACE ANP-BC
NPI 1770844300
Nurse Practitioner - Adult Health in Nashville, TN

Active since May 30, 2012PECOS Enrolled
4230 HARDING PIKE, STE 330, NASHVILLE, TN 37205(615) 269-4545 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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.

NPPES Registry Identity

NPI1770844300
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBONNIE WALLACECredential: ANP-BC
Location Address4230 HARDING PIKE, STE 330Nashville, TN 37205-2013
Mailing Address4230 Harding Pike, Ste 330Nashville, TN 37205-2013 · (615) 269-4545
Sole ProprietorNo
Enumeration DateMay 30, 2012
NPI 1770844300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in TN · APN0000016620
4230 HARDING PIKE, Nashville, TN 37205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bonnie Wallace Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$105.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Cardiovascular Disease)
4230 HARDING PIKE, SUITE 330
NASHVILLE, TN 37205
Internal Medicine (Hematology & Oncology)
4230 HARDING PIKE, STE 707
NASHVILLE, TN 37205
Specialist
4230 HARDING PIKE, SUITE 501
NASHVILLE, TN 37205
Internal Medicine (Cardiovascular Disease)
4230 HARDING PIKE, SUITE 230
NASHVILLE, TN 37205
Specialist
4230 HARDING PIKE, SUITE 803
NASHVILLE, TN 37205
Nurse Anesthetist, Certified Registered
4230 HARDING PIKE, SUITE 435
NASHVILLE, TN 37205
Podiatrist (Foot & Ankle Surgery)
4230 HARDING PIKE, SUITE 202
NASHVILLE, TN 37205
Nurse Practitioner
4230 HARDING PIKE, SUITE 435
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 enrollment system.

When was this NPI record last updated?

The NPPES record for Bonnie Wallace was last updated on May 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.