LESHONDA TEQUILLA WALLACE FNP
NPI 1851403257
Nurse Practitioner - Family in Wilmington, NC

Q: What is Leshonda Wallace's NPI number?

The NPI number for Leshonda Wallace is 1851403257. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Leshonda T Wallace Fnp.

Q: What is Leshonda Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leshonda Wallace was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403(910) 662-9300(910) 662-9301 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2021, Mar 5, 2021 (2 updates tracked since 2021).

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About Leshonda Tequilla Wallace Fnp NPPES

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

LESHONDA TEQUILLA WALLACE FNP (NPI 1851403257) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5006194) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1851403257

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESHONDA TEQUILLA WALLACECredential: FNP

Location Address1725 NEW HANOVER MEDICAL PARK DRWilmington, NC 28403-5345

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 662-9300

Fax(910) 662-9301

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1851403257 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 NC · 5006194

1725 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403

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Other Names 1

Former Name (1)Leshonda T Wallace Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leshonda Tequilla Wallace Fnp 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 ID7416191077

PECOS Enrollment IDI20130920000455

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.

Areas of Expertise CMS Part B claims

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 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.

46 services35 patients

Hospital Affiliations CMS Care Compare

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28403 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.29 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.

MRS. NICOLE LAUREN TERRELL PA-C

Physician Assistant