Kristen Meredith Wallace, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

MW010856 Issued in PA

Practice address

830 5TH Ave Ste 202
Chambersburg, PA 17201-4224

Phone

(717) 709-7990

Fax

(717) 709-7991

NPI assigned

Jan 27, 2025

Last updated

May 5, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA2 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 2

Specialty

Nurse Practitioner

Education

Georgetown University School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keystone Rural Health CenterGroup PAC ID 5496663312, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwallace408061@wellspan.direct-ci.com

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.

• Keystone Rural Health Center

  dba Keystone Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1538166905
  Medicare reassignment Care Compare group NPD
• Keystone Rural Health Center

  dba Keystone Pharmacy Catherine Street

  • Community/Retail Pharmacy
  • Chambersburg, PA
  • NPI 1053105288
  NPD
• Keystone Rural Health Center

  dba Keystone Urgent Care Chambers Hill Drive

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1790064772
  NPD
• Keystone Rural Health Center

  dba Keystone Pediatrics Fifth Avenue

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1861785669
  NPD
• Keystone Rural Health Center

  dba Keystone Women's Care Fifth Avenue

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1639462427
  NPD (past)
• Behram & Behram Sglac, P.C.

  • Obstetrics & Gynecology Physician
  • Rockville, MD
  • NPI 1659149557
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1699587592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 5TH AVE STE 202",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014224",
            "telephone_number": "717-709-7990",
            "fax_number": "717-709-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "KRISTEN",
        "middle_name": "MEREDITH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010856",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP032760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michele Wakefield, CST/CSFA
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1850)
• Wal-Mart Stores East, LP (Vision Center 30-1850)
• Walgreen Co. (Walgreens #11560)
• Dustin Mark Walker, PHARMD
• Peter Glenn Wallick, M.D.
• Kelley Walton, M.S., SLP-CCC
• Chen Wang, MD
• Janelle Ward
• Madison Ward, DPT

• Advanced Practice Midwife in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Advanced Practice Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.