Nancy V Wallace, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024164436 Issued in VA

Practice address

517 W Grace St
Richmond, VA 23220-4911

Phone

(804) 783-2505

Fax

(804) 783-2514

NPI assigned

Sep 22, 2006

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Daily Planet IncGroup PAC ID 9931010857, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Daily Planet Inc

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1124097621
  Medicare reassignment Care Compare group NPD
• The Daily Planet Inc,

  dba Daily Planet Health Services

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1679325435
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1073613089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204911",
            "telephone_number": "804-783-2505",
            "fax_number": "804-783-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W GRACE ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204911",
            "telephone_number": "804-783-2505",
            "fax_number": "804-783-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "NANCY",
        "middle_name": "V",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024164436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lee Wallace, LCSW
• Laura Wallace
• Letitia J Wallace, PMHNP-BC
• Matthew Malone Wallace, M.D.
• Morgan Lindsey Wallace
• Narquinta Lashay Wallace, LPN
• Rachel Wallace, PHD
• Rashika Nelson Wallace, MSW
• Semaj Dallas Wallace
• Timothy J Wallace, MD

• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.