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EMILY ANNE WALLACE
NPI 1902457120
Nurse Practitioner - Family in Round Rock, TX

Active since September 28, 2019PECOS EnrolledAccepts Medicare Assignment
38.35/100
CMS Quality Rating
401 OAKWOOD BLVD, ROUND ROCK, TX 78681(512) 388-7494 Get Directions Write a Review

NPPES record last updated: September 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emily Anne Wallace NPPES

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

EMILY ANNE WALLACE (NPI 1902457120) is an individual family provider in Round Rock, Texas, licensed in Texas (AP143187) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902457120
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY ANNE WALLACE
Location Address401 OAKWOOD BLVDRound Rock, TX 78681-4067
Mailing Address603 W 13th StAustin, TX 78701-1744
Phone(512) 388-7494
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 28, 2019
✔ NPI 1902457120 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 TX · AP143187
401 OAKWOOD BLVD, Round Rock, TX 78681
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and more.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

Emily Anne Wallace 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 ID4880926260
PECOS Enrollment IDI20191105000749
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
378 services102 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
364 services109 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
289 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
88 services57 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
59 services32 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

38.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.56
Promoting Interoperability0
Improvement Activities40
Cost17.95

Reported Quality Measures

Dementia: Cognitive Assessment
14%211 patients
Documentation of Current Medications in the Medical Record
1%2,558 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%402 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
10%396 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
5%97 patients1/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 322 patients
Patients totalRate: 2% · 353 patients
1%353 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE T STAUFFER COTA
Occupational Therapy Assistant
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 217-0525
HEARTHSTONE
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494
HEARTHSTONE SCC, LLC
Skilled Nursing Facility
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494
EMILY BROOKE RICKS M.S., CCC-SLP
Speech-Language Pathologist
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494
LINSEY ELIZABETH LAWLESS PTA
Physical Therapy Assistant
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494
DR. SAMUEL EN KAI PT, DPT
Physical Therapist
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494
STRATFORD HOSPITAL DISTRICT
Skilled Nursing Facility
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494
COURTNEY CAVALIER
Occupational Therapist
401 OAKWOOD BLVD
ROUND ROCK, TX 78681
Williamson County (512) 388-7494

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 Emily Wallace's NPI number?

The NPI number for Emily Wallace is 1902457120. It was assigned to this individual provider in the NPPES registry on September 28, 2019.

Where is Emily Wallace located?

Emily Wallace practices at 401 Oakwood Blvd, Round Rock, TX 78681. The listed phone number is (512) 388-7494.

What is Emily Wallace's specialty?

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

Is Emily Wallace enrolled in Medicare?

Yes. Emily 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 Emily Wallace accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Emily 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 Emily Wallace was last updated on September 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.