INAYZHA WALLACE MD
NPI 1821891334
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 31, 2025PECOS Enrolled
1215 LEE STREET, BOX 800719, CHARLOTTESVILLE, VA 22908(434) 924-2150 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Inayzha Wallace Md NPPES

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

INAYZHA WALLACE MD (NPI 1821891334) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821891334
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameINAYZHA WALLACECredential: MD
Location Address1215 LEE STREET, BOX 800719Charlottesville, VA 22908-0816
Mailing Address1215 Lee Street Box 800719Charlottesville, VA 22908-0816 · (434) 924-2150
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
NPI 1821891334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE STREET, Charlottesville, VA 22908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Inayzha Wallace Md 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.

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.

Student in an Organized Health Care Education/Training Program
1215 LEE STREET, MAIL SLOT 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, BOX 800133
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, BOX 800713
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, 800904
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, MAIL STOP 800212
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Acute Care)
1215 LEE STREET
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET
CHARLOTTESVILLE, VA 22908
Student in an Organized Health Care Education/Training Program
1215 LEE STREET, BOX 800394
CHARLOTTESVILLE, VA 22908

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 Inayzha Wallace's NPI number?

The NPI number for Inayzha Wallace is 1821891334. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Inayzha Wallace located?

Inayzha Wallace practices at 1215 Lee Street Box 800719, Charlottesville, VA 22908. The listed phone number is (434) 924-2150.

What is Inayzha Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Inayzha Wallace enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Inayzha Wallace was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.