JESSICA BOWMAN WALLACE (NP) – Family Nurse Practitioner, NPI 1619561321
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for JESSICA BOWMAN WALLACE (NP)
253 COUNTY ROAD 766
CEDAR BLUFF, AL 359593595
Phone: (256) 899-9147
Type: Location
304 TURNER MCCALL BLVD SW
ROME, GA 301655621
Phone: (706) 509-6110
Fax: (706) 509-6101
Type: Mailing
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: 2024-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210504002811 | I | Nurse Practitioner | GA | TBD |
| I20240320000824 | I | Nurse Practitioner | AL | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 188 | 24 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 60 | 14 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 54 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 50 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 38 | 19 | $0 |
Insurance plans in this area (ZIP 35959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | GA | |
| Emergency Medicine, Family Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | GA |
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