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LESHONDA WALLACE PLLC
NPI 1952289993
Nurse Practitioner - Family in Castle Hayne, NC

Active since August 26, 2025
3804 JUVENILE CENTER DR STE 2, CASTLE HAYNE, NC 28429(910) 623-1362(910) 623-1368 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Leshonda Wallace Pllc NPPES

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

LESHONDA WALLACE PLLC (NPI 1952289993) is a healthcare organization registered as a family in Castle Hayne, North Carolina and active in the NPI registry since August 2025. The organization lists Leshonda Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1952289993
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameLESHONDA WALLACE PLLC
Location Address3804 JUVENILE CENTER DR STE 2Castle Hayne, NC 28429-6158
Mailing Address3804 Juvenile Center Dr Ste 2Castle Hayne, NC 28429-6158
Phone(910) 623-1362
Fax(910) 623-1368
Organization SubpartNo
Authorized OfficialLeshonda WallaceOwner · (888) 659-7552
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1952289993 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
3804 JUVENILE CENTER DR STE 2, Castle Hayne, NC 28429
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leshonda Wallace Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leshonda Wallace PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leshonda Wallace, FNP
Nurse Practitioner
NPI 1851403257
1725 NEW HANOVER MEDICAL PARK DR
Wilmington, NC 28403
(910) 662-9300
✔ PECOS✔ Accepts Medicare7.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Leshonda Wallace PLLC's NPI number?

The NPI number for Leshonda Wallace PLLC is 1952289993. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Leshonda Wallace PLLC located?

Leshonda Wallace PLLC is located at 3804 Juvenile Center Dr Ste 2, Castle Hayne, NC 28429. The listed phone number is (910) 623-1362.

What is Leshonda Wallace PLLC's specialty?

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

Is Leshonda Wallace PLLC enrolled in Medicare?

Yes. Leshonda Wallace PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leshonda Wallace PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Leshonda Wallace PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Leshonda Wallace PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Leshonda Wallace PLLC 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 Leshonda Wallace PLLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.