Individual provider Active NPI

Lisa A Wallace, FNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1932430436
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000511 Issued in DE
Practice address
501 W 14TH St
Suite 5W67
Wilmington, DE 19801-1013
Phone
(302) 428-4900
Fax
(302) 428-2663
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0019627 DE
Nurse Practitioner 363L00000X LG-0000511 DE
Family Nurse Practitioner 363LF0000X LG-0000511 DE Primary

Addresses

Primary practice location

501 W 14TH St
Suite 5W67
Wilmington, DE 19801-1013

Mailing address

501 W 14TH St
Wilmington Hospital, Suite 5W67
Wilmington, DE 19801-1013

Other practice location 1

4755 Ogletown Stanton Road
Suite 1E20
Newark, DE 19718-2200
Phone (302) 733-5625

Other identifiers 1

IdentifierTypeStateIssuer
LG-0000511OtherDENP LICENSE NUMBER

Other names 1

  • Lisa Almeida Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20100628000628 DE Practitioner - Nurse Practitioner 1850422379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-5625

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L1-0019627DEMDRegistered Nurse
LG-0000511DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Dec 1, 2014 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 13, 2025 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Jan 28, 2018 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 1, 2014 Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Past Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Ste 1E20
Newark, DE 19718
Phone (302) 733-5625

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

501 W 14th St
#5W67
Wilmington, DE 19801
Phone (302) 320-4900

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Rm 5W67
Wilmington, DE 19801
Phone (302) 320-4900

501 W 14th St
Ste 5W67
Wilmington, DE 19801
Phone (302) 428-4900

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1932430436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "WILMINGTON HOSPITAL, SUITE 5W67",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "SUITE 5W67",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-428-4900",
            "fax_number": "302-428-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "SUITE 1E20",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-5625",
            "fax_number": "302-733-5665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0019627",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "LG-0000511",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "ALMEIDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.