JODI-ANNE WALLACE MD
NPI 1952764474
Internal Medicine in Gainesville, FL
About Jodi-anne Wallace Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI-ANNE WALLACE MD (NPI 1952764474) is an individual internal medicine provider in Gainesville, Florida, licensed in Florida (ME139697) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of University Of Florida College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Jodi-anne Wallace Md 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 Reassignment
Medicare enrollment records show Jodi-anne Wallace reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uf Health Shands Hospital
Acute Care Hospitals · Gainesville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32610 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
GAINESVILLE, FL 32610
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 Jodi-anne Wallace's NPI number?
The NPI number for Jodi-anne Wallace is 1952764474. It was assigned to this individual provider in the NPPES registry on April 1, 2016.
Where is Jodi-anne Wallace located?
Jodi-anne Wallace practices at 1600 SW Archer Rd Suite 4102, Gainesville, FL 32610. The listed phone number is (352) 265-0239.
What is Jodi-anne Wallace's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jodi-anne Wallace enrolled in Medicare?
Yes. Jodi-anne 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 organization bills Medicare for Jodi-anne Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi-anne Wallace reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Jodi-anne Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jodi-anne Wallace affiliated with any hospitals?
According to CMS data, Jodi-anne Wallace is affiliated with Uf Health Shands Hospital.
When was this NPI record last updated?
The NPPES record for Jodi-anne Wallace was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jodi-Anne Wallace, MD · NPI 1952764474
Internal Medicine physician in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since April 1, 2016.
## Identity
- **NPI:** 1952764474 (Entity type: Individual)
- **Enumerated:** April 1, 2016
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME139697 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 SW ARCHER RD, SUITE 4102, Gainesville, FL 32610-3003
- **Phone:** (352) 265-0239 · **Fax:** (352) 265-1107
## 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:** Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Florida College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 30, 2019
- **Other identifiers:** Medicaid 103410900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1952764474) · Data from the CMS NPPES public registry.