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MRS. KIM MARIE WALLACE-SCHLICK FNP-C
NPI 1972032472
Nurse Practitioner - Family in Stony Brook, NY

Active since June 08, 2017PECOS Enrolled
91.25/100
CMS Quality Rating
2500 NESCONSET HWY BLDG 7, STONY BROOK, NY 11790(631) 331-3304(631) 331-1932 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2025, Apr 13, 2022, Apr 25, 2020 and 1 more (4 updates tracked since 2017).

About Mrs. Kim Marie Wallace-schlick Fnp-c NPPES

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

MRS. KIM MARIE WALLACE-SCHLICK FNP-C (NPI 1972032472) is an individual family provider in Stony Brook, New York, licensed in New York (342162) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972032472
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIM MARIE WALLACE-SCHLICKCredential: FNP-C
Location Address2500 NESCONSET HWY BLDG 7Stony Brook, NY 11790-2555
Mailing Address2700 Nesconset Highway, Building 7Stony Brook, NY 11790 · (631) 331-3304 · Fax (631) 331-1932
Phone(631) 331-3304
Fax(631) 331-1932
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateNovember 17, 20254 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1972032472 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
License✔ Licensed in NY · 342162
2500 NESCONSET HWY BLDG 7, Stony Brook, NY 11790
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kim Marie Wallace-schlick Fnp-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kim Marie Wallace-schlick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chs Physician Partners, P.C
10 mi
Family Medicine
213 MONTAUK HWY
West Sayville, NY 11796
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Chs Physician Partners PC
  • 944 clinicians in this Medicare group
NPI 1679823512 (631) 563-6205
North Shore-Lij Medical PC
32 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Kim Marie Wallace-schlick's NPI number?

The NPI number for Kim Marie Wallace-schlick is 1972032472. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Kim Marie Wallace-schlick located?

Kim Marie Wallace-schlick practices at 2500 Nesconset Hwy Bldg 7, Stony Brook, NY 11790. The listed phone number is (631) 331-3304.

What is Kim Marie Wallace-schlick's specialty?

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

Is Kim Marie Wallace-schlick enrolled in Medicare?

Yes. Kim Marie Wallace-schlick is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kim Marie Wallace-schlick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Marie Wallace-schlick reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (West Sayville, NY) and North Shore-Lij Medical PC (Great Neck, NY). Each 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 Kim Marie Wallace-schlick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kim Marie Wallace-schlick was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.