VALERIE ELIZABETH WALLACE NURSE PRACTITIONER
NPI 1902375512
Nurse Practitioner - Family in Chester, MD
About Valerie Elizabeth Wallace Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALERIE ELIZABETH WALLACE NURSE PRACTITIONER (NPI 1902375512) is an individual family provider in Chester, Maryland, licensed in Maryland (R192586) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Valerie Elizabeth Wallace Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Valerie Wallace reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chester, MD 21619
- Reassigned Medicare billing, Maryland enrollment
- 87 clinicians in this Medicare group
Chester, MD 21619
- Reassigned Medicare billing, Maryland enrollment
- 794 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21619 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.
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 Valerie Wallace's NPI number?
The NPI number for Valerie Wallace is 1902375512. It was assigned to this individual provider in the NPPES registry on November 13, 2018.
Where is Valerie Wallace located?
Valerie Wallace practices at 1900 Bayside Dr, Chester, MD 21619. The listed phone number is (410) 490-9498.
What is Valerie Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Valerie Wallace enrolled in Medicare?
Yes. Valerie Wallace is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Valerie Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Wallace reassigns Medicare benefits to 2 organizations: Umms Ambulatory Care LLC (Chester, MD) and Luminis Health Medical Group, LLC (Chester, MD). 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 Valerie Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Valerie Wallace was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Valerie Elizabeth Wallace, NURSE PRACTITIONER · NPI 1902375512
Family physician in Chester, Maryland. Individual provider, active in the CMS NPPES registry since November 13, 2018.
## Identity
- **NPI:** 1902375512 (Entity type: Individual)
- **Enumerated:** November 13, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R192586 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1900 BAYSIDE DR, Chester, MD 21619-2840
- **Phone:** (410) 490-9498 · **Fax:** (410) 834-0291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Umms Ambulatory Care LLC (NPI 1801554829, Chester, MD); Luminis Health Medical Group, LLC (NPI 1295063923, Chester, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2026
- **Other identifiers:** Other R192586 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1902375512) · Data from the CMS NPPES public registry.