DR. ANDREW NELS WALLACE D.O.
NPI 1912361502
Internal Medicine - Infectious Disease in Scottsdale, AZ
About Dr. Andrew Nels Wallace D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW NELS WALLACE D.O. (NPI 1912361502) is an individual infectious disease provider in Scottsdale, Arizona, licensed in Arizona (011500) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-carolinas Campus (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Andrew Nels Wallace D.o. 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 Andrew Wallace reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85258
- Reassigned Medicare billing, Arizona enrollment
- 822 clinicians in this Medicare group
Portland, OR 97213
- Reassigned Medicare billing, Oregon enrollment
- 676 clinicians in this Medicare group
Greensboro, NC 27401
- Reassigned Medicare billing, North Carolina enrollment
- 408 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
SCOTTSDALE, AZ 85258
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 Andrew Wallace's NPI number?
The NPI number for Andrew Wallace is 1912361502. It was assigned to this individual provider in the NPPES registry on April 8, 2016.
Where is Andrew Wallace located?
Andrew Wallace practices at 9201 E Mountain View Rd Ste 105, Scottsdale, AZ 85258. The listed phone number is (480) 587-6970.
What is Andrew Wallace's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Andrew Wallace enrolled in Medicare?
Yes. Andrew 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 Andrew Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Wallace reassigns Medicare benefits to 3 organizations: Honorhealth Ambulatory (Scottsdale, AZ), Providence Health & Services - Oregon (Portland, OR) and The Moses H Cone Memorial Hospital Operating Corporation (Greensboro, 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 Andrew Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Wallace accept?
Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Andrew 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 Andrew Wallace was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Andrew Nels Wallace, D.O. · NPI 1912361502
Infectious Disease physician in Scottsdale, Arizona. Individual provider, active in the CMS NPPES registry since April 8, 2016.
## Identity
- **NPI:** 1912361502 (Entity type: Individual)
- **Enumerated:** April 8, 2016
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **State license:** 011500 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 9201 E MOUNTAIN VIEW RD STE 105, Scottsdale, AZ 85258-5140
- **Phone:** (480) 587-6970
## 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): Honorhealth Ambulatory (NPI 1063186294, Scottsdale, AZ); Providence Health & Services - Oregon (NPI 1003991845, Portland, OR); The Moses H Cone Memorial Hospital Operating Corporation (NPI 1356372064, Greensboro, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Carolinas Campus, class of 2016
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912361502) · Data from the CMS NPPES public registry.