MARYSA P WALLACE AGNP-C
NPI 1932989357
Nurse Practitioner in Fayetteville, GA
About Marysa P Wallace Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYSA P WALLACE AGNP-C (NPI 1932989357) is an individual nurse practitioner in Fayetteville, Georgia, licensed in Georgia (RN259981) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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
Marysa P Wallace Agnp-c 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.
Areas of Expertise CMS Part B claims 3
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 30215 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.
FAYETTEVILLE, GA 30215
FAYETTEVILLE, GA 30215
FAYETTEVILLE, GA 30215
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 Marysa Wallace's NPI number?
The NPI number for Marysa Wallace is 1932989357. It was assigned to this individual provider in the NPPES registry on October 3, 2023.
Where is Marysa Wallace located?
Marysa Wallace practices at 132 Old Norton Rd Ste 200, Fayetteville, GA 30215. The listed phone number is (678) 817-1117.
What is Marysa Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Marysa Wallace enrolled in Medicare?
Yes. Marysa 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.
When was this NPI record last updated?
The NPPES record for Marysa Wallace was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
