CARIN LYNNAE WALLACE FNP
NPI 1891288742
Nurse Practitioner - Family in Bradenton, FL

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment
5985 SILVER FALLS RUN STE 100, BRADENTON, FL 34211(941) 202-2055(877) 550-1635 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: Aug 11, 2025, Jun 5, 2024, Apr 26, 2024 and 3 more (6 updates tracked since 2018).

About Carin Lynnae Wallace Fnp NPPES

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

CARIN LYNNAE WALLACE FNP (NPI 1891288742) is an individual family provider in Bradenton, Florida, licensed in Florida (F04180557) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891288742
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARIN LYNNAE WALLACECredential: FNP
Location Address5985 SILVER FALLS RUN STE 100Bradenton, FL 34211-1291
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Fax(877) 550-1635
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 14, 2018
Last NPPES UpdateAugust 26, 20256 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
NPI 1891288742 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
Licenses Licensed in FL · F04180557 Licensed in TX · AP137578
5985 SILVER FALLS RUN STE 100, Bradenton, FL 34211

Secondary Practice Locations 5

Location 1825 Medical Dr Ste ATyler, TX 75701-2143 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 21761 W Loop 281Longview, TX 75604-2734 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 3705 E Marshall Ave Ste 3000Longview, TX 75601-5661 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 41107 E Marshall AveLongview, TX 75601-5602 · Phone (903) 758-2610 · Fax (903) 758-7081
Location 52015 Mulberry Ave Ste 250MT Pleasant, TX 75455-2927 · Phone (903) 758-2610 · Fax (903) 758-7081

Accepted 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

Carin Lynnae 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 ID7113274481
PECOS Enrollment IDI20250814002414
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34211 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Physician Assistant
5985 SILVER FALLS RUN STE 100
BRADENTON, FL 34211
Obstetrics & Gynecology
5985 SILVER FALLS RUN STE 100
BRADENTON, FL 34211
Obstetrics & Gynecology
5985 SILVER FALLS RUN STE 100
LAKEWOOD RANCH, FL 34211

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 Carin Wallace's NPI number?

The NPI number for Carin Wallace is 1891288742. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Carin Wallace located?

Carin Wallace practices at 5985 Silver Falls Run Ste 100, Bradenton, FL 34211. The listed phone number is (941) 202-2055.

What is Carin Wallace's specialty?

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

Is Carin Wallace enrolled in Medicare?

Yes. Carin 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 Carin Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Carin 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.

When was this NPI record last updated?

The NPPES record for Carin 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.