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PEGGY LYNN WALLACE APRN
NPI 1841862059
Nurse Practitioner in Layton, UT

Active since July 15, 2021PECOS EnrolledAccepts Medicare Assignment
88.22/100
CMS Quality Rating
2132 N 1700 W, STE 100, LAYTON, UT 84041(801) 807-7900(801) 807-7904 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2022, Jul 15, 2021 (2 updates tracked since 2021).

About Peggy Lynn Wallace Aprn NPPES

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

PEGGY LYNN WALLACE APRN (NPI 1841862059) is an individual nurse practitioner in Layton, Utah, licensed in Utah (114266-4405) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1841862059
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePEGGY LYNN WALLACECredential: APRN
Location Address2132 N 1700 W, STE 100Layton, UT 84041-7059
Mailing Address1115 E 1675 NNorth Ogden, UT 84404-3379 · (801) 675-6624
Phone(801) 807-7900
Fax(801) 807-7904
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 15, 2021
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1841862059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 114266-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2132 N 1700 W, STE 100, Layton, UT 84041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah 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 and accepts Medicare assignment

Peggy Lynn Wallace Aprn 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.

PECOS PAC ID3274911060
PECOS Enrollment IDI20220607002405
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 Reassignment

Medicare enrollment records show Peggy Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Health Initiatives Colorado
0.5 mi
Prescribing (Medical)
1600 W ANTELOPE DR
Layton, UT 84041
  • Reassigned Medicare billing, Utah enrollment
  • 136 clinicians in this Medicare group
NPI 1144922097 (801) 820-3730

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services48 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
176 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services33 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
76 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
43 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Davis

Acute Care Hospitals · Layton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460041
Location1600 West Antelope DriveLayton, UT 84041 · Davis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84041 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.96
Promoting Interoperability81
Improvement Activities40

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 Peggy Wallace's NPI number?

The NPI number for Peggy Wallace is 1841862059. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Where is Peggy Wallace located?

Peggy Wallace practices at 2132 N 1700 W, Ste 100, Layton, UT 84041. The listed phone number is (801) 807-7900.

What is Peggy Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Peggy Wallace enrolled in Medicare?

Yes. Peggy 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 organization bills Medicare for Peggy Wallace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peggy Wallace reassigns Medicare benefits to Catholic Health Initiatives Colorado (Layton, UT). The 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 Peggy Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peggy Wallace accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Peggy 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.

Is Peggy Wallace affiliated with any hospitals?

According to CMS data, Peggy Wallace is affiliated with University Of Utah Hospitals And Clinics and Holy Cross Hospital-Davis.

When was this NPI record last updated?

The NPPES record for Peggy Wallace was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.