KARINA JEAN WALLACE NP
NPI 1962136895
Nurse Practitioner in Clarksville, IN

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
101 POTTERS LN, CLARKSVILLE, IN 47129(443) 383-9300(855) 866-8710 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Karina Jean Wallace Np NPPES

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

KARINA JEAN WALLACE NP (NPI 1962136895) is an individual nurse practitioner in Clarksville, Indiana, licensed in Indiana (71012683A) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962136895
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKARINA JEAN WALLACECredential: NP
Location Address101 POTTERS LNClarksville, IN 47129-1017
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300 · Fax (855) 866-8710
Fax(855) 866-8710
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
NPI 1962136895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71012683A
Definition

(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.

101 POTTERS LN, Clarksville, IN 47129

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

Karina Jean Wallace Np 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.

PECOS PAC ID1052793353
PECOS Enrollment IDI20220803002028
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
184 services60 patients
Follow-up nursing facility visit per day, typically 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
123 services43 patients
Initial nursing facility visit per day, typically 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
36 services36 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
36 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
31 services11 patients
Initial nursing facility visit per day, typically 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47129 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
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 20

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

Physical Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129
Physical Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129
Occupational Therapy Assistant
101 POTTERS LN
CLARKSVILLE, IN 47129
Occupational Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129
Physical Therapy Assistant
101 POTTERS LN
CLARKSVILLE, IN 47129
Occupational Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129
Occupational Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129
Occupational Therapist
101 POTTERS LN
CLARKSVILLE, IN 47129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962136895, enumerated as an "individual" on July 15, 2022.

The provider is located at 101 POTTERS LN CLARKSVILLE, IN 47129 and the phone number is (443) 383-9300.

Nurse Practitioner with taxonomy code 363L00000X.