KATHERINE MARIE WALLACE (NP-C) – Adult Health Nurse Practitioner, NPI 1548650617
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for KATHERINE MARIE WALLACE (NP-C)
2702 BETCHET LANE
OPELIKA, AL 368016153
Phone: (334) 750-1421
Type: Mailing
118 ENTERPRISE CT STE B
COLUMBUS, GA 319049228
Phone: (706) 330-1389
Fax: (706) 330-1392
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150417000322 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 990 | 15 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 456 | 62 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 334 | 53 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 286 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 72 | $0 |
Insurance plans in this area (ZIP 36801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 185 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Family Practice, General Practice | GA | |
| C H I R O P R A C T I C | GA |
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