Deborah Wallace, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00646700 Issued in NJ

Practice address

20 Kilmer Dr
Manalapan, NJ 07726-3709

Phone

(229) 596-7531

NPI assigned

Jun 14, 2016

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 13

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY, DC, KS, KY, NH, OH, MA, ME, RI10 enrollments

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 10

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Minuteclinic Diagnostic of Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1699747303
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of New Jersey LLC

  • Family Nurse Practitioner
  • Sewell, NJ
  • NPI 1053353615
  Medicare reassignment NPD
• MC Medical Group of DC, PC

  • Family Nurse Practitioner
  • Washington, DC
  • NPI 1063644466
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Kansas PA

  • Family Nurse Practitioner
  • Leawood, KS
  • NPI 1629005558
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Maine, LLC

  • Family Nurse Practitioner
  • South Portland, ME
  • NPI 1740661461
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Rhode Island, LLC

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1649511841
  Medicare reassignment NPD
• Perry Medical Group of Florida PA

  • General Practice Physician
  • New York, NY
  • NPI 1194394833

  NJ

  Medicare reassignment NPD
• Minuteclinic Diagnostic of Massachusetts LLC

  • Family Nurse Practitioner
  • Medway, MA
  • NPI 1457470858
  Medicare reassignment
• Minuteclinic Diagnostic of Kentucky LLC

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1578891057
  NPD
• Minuteclinic Diagnostic of New Hampshire, L.L.C.

  • Family Nurse Practitioner
  • Concord, NH
  • NPI 1477894673
  NPD

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1215387832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KILMER DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263709",
            "telephone_number": "229-596-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KILMER DR",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263709",
            "telephone_number": "229-596-7531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1054 Cass Ave",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028954935",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "fax_number": "401-519-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7955 Tuckerman Ln",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208543243",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "fax_number": "401-519-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11729 Roe Ave",
            "address_purpose": "LOCATION",
            "city": "Leawood",
            "state": "KS",
            "postal_code": "662112605",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "fax_number": "401-519-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4961 Roberts Rd",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430268129",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 Market St",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041063617",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67D Main St",
            "address_purpose": "LOCATION",
            "city": "Medway",
            "state": "MA",
            "postal_code": "020531831",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197011303",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Hall St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013414",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Bladensburg Rd NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200023927",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12280 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328255009",
            "country_code": "US",
            "telephone_number": "229-596-7531",
            "fax_number": "401-519-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2311 Lime Kiln Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402223460",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "DEBORAH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2387963",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0136587",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00646700",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "092217-21",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03922",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012458",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP00012510",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022555",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP231539",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0034552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4007693",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-82466-081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debby Wajsbaum, AUD
• Walgreen Co (Walgreens # 12289)
• Walgreen Co (Walgreens #13862)
• Walgreen Co (Rite Aid #10420)
• Elizabeth Walker
• Elizabeth A Walsh, LSW, LCADC
• Walter & Mary Counseling Associates
• Christine Wang, PT
• Kimberly Ruth Wannemacher, BCBA
• Crystal Warhurst, MSW, LSW

• Family Nurse Practitioner in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.