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JACQUELINE M WALLACE PHYSICIAN
NPI 1912945155
Obstetrics & Gynecology in Columbia, MD

Active since June 02, 2006PECOS Enrolled
10910 LITTLE PATUXENT PKWY, SUITE 100, COLUMBIA, MD 21044(410) 997-8444 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline M Wallace Physician NPPES

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

JACQUELINE M WALLACE PHYSICIAN (NPI 1912945155) is an individual obstetrics & gynecology provider in Columbia, Maryland, licensed in Maryland (D0069282) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912945155
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJACQUELINE M WALLACECredential: PHYSICIAN
Location Address10910 LITTLE PATUXENT PKWY, SUITE 100Columbia, MD 21044-3078
Mailing Address10910 Little Patuxent Pkwy, Suite 100Columbia, MD 21044-3078 · (410) 997-8444
Phone(410) 997-8444
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJune 22, 2010
✔ NPI 1912945155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in MD · D0069282✔ Licensed in PA · MD059921L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10910 LITTLE PATUXENT PKWY, Columbia, MD 21044
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Other Identifiers 3

Medicare UPINH76750
Medicaid101044156PA
Medicare ID-Type Unspecified080787

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline M Wallace Physician is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 21044 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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 15

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

JACOB CHERIAN MD LLC
Clinic/Center (Medical Specialty)
10910 LITTLE PATUXENT PKWY, SUITE 105R
COLUMBIA, MD 21044
Howard County (410) 964-5311
SUZANNE FARHANG CASTNER PA-C
Physician Assistant (Medical)
10910 LITTLE PATUXENT PKWY, 200
COLUMBIA, MD 21044
Howard County (410) 997-2770
DR. SHARON E SILVERMAN M.D.
Internal Medicine
10910 LITTLE PATUXENT PKWY, SUITE 105R
COLUMBIA, MD 21044
Howard County (410) 964-5311
HOWARD COUNTY CENTER FOR LUNG AND SLEEP MEDICINE LLC
Internal Medicine (Pulmonary Disease)
10910 LITTLE PATUXENT PKWY, 100
COLUMBIA, MD 21044
Howard County (410) 740-3635
MELISSA RUTH REINHARDT MSPT
Physical Therapist
10910 LITTLE PATUXENT PKWY, SUITE 200
COLUMBIA, MD 21044
Howard County (443) 283-2018
DR. DANIELLE NICOLE DAVIES FRANK DDS
Dentist
10910 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044
Howard County (410) 992-4400
GWENDOLYN M YATES MD
Obstetrics & Gynecology
10910 LITTLE PATUXENT PKWY, STE 100
COLUMBIA, MD 21044
Howard County (410) 997-8444
DR. NICHOLAS DONKOR MD
Pediatrics
10910 LITTLE PATUXENT PKWY, SUITE 201
COLUMBIA, MD 21044
Howard County (410) 740-5460

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 Jacqueline Wallace's NPI number?

The NPI number for Jacqueline Wallace is 1912945155. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Jacqueline Wallace located?

Jacqueline Wallace practices at 10910 Little Patuxent Pkwy Suite 100, Columbia, MD 21044. The listed phone number is (410) 997-8444.

What is Jacqueline Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Wallace enrolled in Medicare?

Yes. Jacqueline Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Wallace was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.