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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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 Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Alexandria Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Comprehensive Primary & Urgent Care Of Alabama, LLC
24 mi
Primary Care
707 W MARKET ST
Athens, AL 35611
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1750997706 (256) 444-1815
Aqua Dermatology Of Alabama PC
84 mi
MOHS-Micrographic Surgery
1940 STONEGATE DR STE 130
Vestavia Hls, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • 48 clinicians in this Medicare group
NPI 1477708642 (205) 977-9876

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 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.

Which organizations bill Medicare for Alexandria Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Wallace reassigns Medicare benefits to 2 organizations: Comprehensive Primary & Urgent Care Of Alabama, LLC (Athens, AL) and Aqua Dermatology Of Alabama PC (Vestavia Hls, AL). 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 Alexandria Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandria Wallace accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer 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 7 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.