CHARLESTON BAILEE WALLACE FNP
NPI 1851960421
Nurse Practitioner - Family in Lexington, TN

Q: What is Charleston Wallace's NPI number?

The NPI number for Charleston Wallace is 1851960421. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Q: What is Charleston Wallace's specialty?

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

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment

157 W CHURCH ST, LEXINGTON, TN 38351(731) 968-8182 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2021, Sep 15, 2021, Aug 23, 2021 and 1 more (4 updates tracked since 2021).

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About Charleston Bailee Wallace Fnp NPPES

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

CHARLESTON BAILEE WALLACE FNP (NPI 1851960421) is an individual family provider in Lexington, Tennessee, licensed in Tennessee (30307) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1851960421

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHARLESTON BAILEE WALLACECredential: FNP

Location Address157 W CHURCH STLexington, TN 38351-2011

Mailing Address595 Natchez Trace DrLexington, TN 38351-1627 · (731) 307-9413

Phone(731) 968-8182

Sole ProprietorNo

Medical School CMSMemphis Hospital Medical CollegeGraduated 2021

Enumeration DateJune 18, 2021

Last NPPES UpdateSeptember 22, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2021

✔ NPI 1851960421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 30307

Also ListedRegistered NurseTaxonomy 163W00000X · License 225188 (TN)

157 W CHURCH ST, Lexington, TN 38351

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Secondary Practice Location 1

Location 1595 Natchez Trace DrLexington, TN 38351-1627 · Phone (731) 307-9413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, 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

Charleston Bailee 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 ID4082007042

PECOS Enrollment IDI20220215002292

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 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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

142 services34 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

140 services30 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

67 services48 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.

59 services46 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.

54 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Henderson County Community Hospital

Acute Care Hospitals · Lexington, TN

OwnershipProprietary

CMS Certification Number440008

Location200 W Church StLexington, TN 38351 · Henderson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

MRS. BRANDY BARTHOLOMEW FNP-C

Nurse Practitioner (Family)

157 W CHURCH ST
LEXINGTON, TN 38351

Henderson County (731) 968-8182

MARY KATHERYN JONES GOODWIN MSN, APN

Nurse Practitioner (Pediatrics)

157 W CHURCH ST
LEXINGTON, TN 38351

Henderson County (731) 968-8182

MRS. RACHEL TYLER WALKER FNP-C

Nurse Practitioner (Family)

157 W CHURCH ST
LEXINGTON, TN 38351

Henderson County (731) 968-8182

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 Charleston Wallace's NPI number?

The NPI number for Charleston Wallace is 1851960421. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Charleston Wallace located?

Charleston Wallace practices at 157 W Church St, Lexington, TN 38351. The listed phone number is (731) 968-8182.

What is Charleston Wallace's specialty?

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

Is Charleston Wallace enrolled in Medicare?

Yes. Charleston 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.

What insurance does Charleston Wallace accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Charleston 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 Charleston Wallace affiliated with any hospitals?

According to CMS data, Charleston Wallace is affiliated with Jackson-Madison County General Hospital and Henderson County Community Hospital.

When was this NPI record last updated?

The NPPES record for Charleston Wallace was last updated on September 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.