COLLEEN WALLACE
NPI 1992394423
Family Medicine - Adult Medicine in Umatilla, FL
About Colleen Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN WALLACE (NPI 1992394423) is an individual adult medicine provider in Umatilla, Florida, licensed in Florida (11011114) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Colleen Wallace 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 6
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.
Adventhealth Waterman
Acute Care Hospitals · Tavares, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32784 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Colleen Wallace's NPI number?
The NPI number for Colleen Wallace is 1992394423. It was assigned to this individual provider in the NPPES registry on January 11, 2021.
Where is Colleen Wallace located?
Colleen Wallace practices at 287 S Central Ave, Umatilla, FL 32784. The listed phone number is (352) 747-0747.
What is Colleen Wallace's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Colleen Wallace enrolled in Medicare?
Yes. Colleen 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.
Is Colleen Wallace affiliated with any hospitals?
According to CMS data, Colleen Wallace is affiliated with Adventhealth Waterman.
When was this NPI record last updated?
The NPPES record for Colleen Wallace was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.