ALEXANDRIA WALLACE
NPI 1811468135
Nurse Practitioner - Family in Huntsville, AL

Q: What is Alexandria Wallace's NPI number?

The NPI number for Alexandria Wallace is 1811468135. It was assigned to this individual provider in the NPPES registry on December 14, 2018.

Q: What is Alexandria Wallace's specialty?

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

Active since December 14, 2018PECOS Enrolled

4810 WHITESPORT CIR SW STE 110, HUNTSVILLE, AL 35801(205) 977-9876(205) 977-9976 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Jun 16, 2025, Jan 28, 2021 and 2 more (5 updates tracked since 2018).

On this page

About Alexandria Wallace NPPES

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

ALEXANDRIA WALLACE (NPI 1811468135) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-143113) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Decatur, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811468135

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXANDRIA WALLACE

Location Address4810 WHITESPORT CIR SW STE 110Huntsville, AL 35801-7439

Mailing Address707 W Market St Ste CAthens, AL 35611-2463 · (256) 444-1815 · Fax (256) 444-0385

Phone(205) 977-9876

Fax(205) 977-9976

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 14, 2018

Last NPPES UpdateMarch 31, 20265 updates tracked since enumeration

NPPES CertifiedMarch 31, 2026

✔ NPI 1811468135 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 AL · 1-143113

4810 WHITESPORT CIR SW STE 110, Huntsville, AL 35801

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Secondary Practice Location 1

Location 1802 Bank St NEDecatur, AL 35601-1612 · Phone (205) 977-9876 · Fax (205) 977-9976

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2466791363

PECOS Enrollment IDI20190311001065

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 35801 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER HARRISON CRNP

Nurse Practitioner (Family)

4810 WHITESPORT CIR SW STE 110
HUNTSVILLE, AL 35801

Madison County (205) 977-9876

MRS. EMILY CLAIRE JONES CRNP

Dermatology

4810 WHITESPORT CIR SW STE 110
HUNTSVILLE, AL 35801

Madison County (256) 715-5300

KATIE LAUREN KIM PA-C

Physician Assistant (Surgical)

4810 WHITESPORT CIR SW STE 110
HUNTSVILLE, AL 35801

Madison County (205) 977-9876

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 Alexandria Wallace's NPI number?

The NPI number for Alexandria Wallace is 1811468135. It was assigned to this individual provider in the NPPES registry on December 14, 2018.

Where is Alexandria Wallace located?

Alexandria Wallace practices at 4810 Whitesport Cir SW Ste 110, Huntsville, AL 35801. The listed phone number is (205) 977-9876.

What is Alexandria Wallace's specialty?

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

Is Alexandria Wallace enrolled in Medicare?

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

What insurance does Alexandria Wallace accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Alexandria 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 Alexandria Wallace was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.