LESHONDA TEQUILLA WALLACE FNP
NPI 1851403257
Nurse Practitioner - Family in Wilmington, NC
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
Specialties & Licenses
Other Names 1
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Leshonda Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 710 clinicians in this Medicare group
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 335 clinicians in this Medicare group
Castle Hayne, NC 28429
- Reassigned Medicare billing, North Carolina enrollment
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
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.
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, NCPhysician 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.
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.
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.
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
WILMINGTON, NC 28403
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 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.
Where is Leshonda Wallace located?
Leshonda Wallace practices at 1725 New Hanover Medical Park Dr, Wilmington, NC 28403. The listed phone number is (910) 662-9300.
What is Leshonda Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leshonda Wallace enrolled in Medicare?
Yes. Leshonda 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 organizations bill Medicare for Leshonda Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leshonda Wallace reassigns Medicare benefits to 3 organizations: Novant Health Medical Group Coastal Region, LLC (Wilmington, NC), Novant Health New Hanover Regional Medical Center LLC (Wilmington, NC) and Leshonda Wallace PLLC (Castle Hayne, NC). 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 Leshonda Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Leshonda Wallace accept?
Health plans from Blue Cross and Blue Shield of NC list Leshonda 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 Leshonda Wallace affiliated with any hospitals?
According to CMS data, Leshonda Wallace is affiliated with Novant Health New Hanover Regional Medical Center.
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 14 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.
# Leshonda Tequilla Wallace, FNP · NPI 1851403257
Family physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1851403257 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5006194 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1725 NEW HANOVER MEDICAL PARK DR, Wilmington, NC 28403-5345
- **Phone:** (910) 662-9300 · **Fax:** (910) 662-9301
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group Coastal Region, LLC (NPI 1376122077, Wilmington, NC); Novant Health New Hanover Regional Medical Center LLC (NPI 1326635418, Wilmington, NC); Leshonda Wallace PLLC (NPI 1952289993, Castle Hayne, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 26, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1851403257) · Data from the CMS NPPES public registry.