Valerie Elizabeth Wallace, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R192586 Issued in MD

Practice address

1900 Bayside Dr
Chester, MD 21619-2840

Phone

(410) 490-9498

Fax

(410) 834-0291

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Luminis Health Medical Group, LLC

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205
  Medicare reassignment NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Denton, MD
  • NPI 1487251997
  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  • Family Medicine Physician
  • Severna Park, MD
  • NPI 1588047971
  NPD
• Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Bowie, MD
  • NPI 1720835010
  NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Dundalk, MD
  • NPI 1134727415
  NPD
• Umms Ambulatory Care LLC

  • Urgent Care Clinic/Center
  • Glen Burnie, MD
  • NPI 1801651674
  NPD
• Frederick Health Hospital Inc

  • 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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1902375512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BAYSIDE DR",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192840",
            "telephone_number": "410-490-9498",
            "fax_number": "410-834-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BAYSIDE DR",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192840",
            "telephone_number": "410-490-9498",
            "fax_number": "410-834-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "VALERIE",
        "middle_name": "ELIZABETH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R192586",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "R192586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED REGISTERED NURSE PRACTITIONER",
            "identifier": "R192586",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Umms Ambulatory Care LLC
• Veritas Dental Institute - Kent Island
• Walgreen Co
• Walgreen Co
• Diane Walker, NURSE PRACTITIONER
• Olivia Jacquelyn Warner, FNP-C
• We Care Clinic
• We Care Clinic
• Elizabeth Welch, RPH
• Ian West, MPT

• Family Nurse Practitioner in Chester, MD
• Providers in Chester, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.