MR. SPENCER RILEY WALLACE (CRNP) – Family Nurse Practitioner, NPI 1831713387

MR. SPENCER RILEY WALLACE (CRNP) is a healthcare provider. based in Gadsden, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-147129 (AL). The NPI Number for MR. SPENCER RILEY WALLACE (CRNP) is 1831713387

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. SPENCER RILEY WALLACE (CRNP)
NPI
1831713387
Phone
(256) 492-4040
Address
713 GOODYEAR AVE
Enumeration Date
1 June 2020
Last Update Date
13 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2564924040
Graduation Year
2019 (7 years ago)
PAC ID
3779902069
Group Practice PAC ID
0749254241
Professional Enrollment ID
I20201006002786
Address ID
AL359031156GA713XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. SPENCER RILEY WALLACE (CRNP)

  • 713 GOODYEAR AVE

    GADSDEN, AL 359031156

    Phone: (256) 492-4040

    Type: Location

  • 301 Medical Center Dr SW

    Fort Payne, AL 359683420

    Phone: (256) 492-4040

    Type: Location

  • 7063 Veterans Pkwy

    Pell City, AL 351255114

    Phone: (256) 492-4040

    Type: Location

  • 9524 US Highway 431

    Albertville, AL 359500106

    Phone: (256) 492-4040

    Type: Location

  • 2986 US HIGHWAY 431

    BOAZ, AL 359575848

    Phone: (256) 840-8181

    Fax: (256) 744-7272

    Type: Location

  • PO BOX 697

    BOAZ, AL 359570697

    Phone: (256) 840-8181

    Fax: (256) 744-7272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $1,615.

Total Amount is formed as General ($1,615) + Research ($0) + Ownership ($0) = $1,615.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($732).

Total Amount

$1,615

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,615

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-10-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201006002786INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes130104$0
51798Ultrasound measurement of bladder capacity after voiding11093$0
82247Bilirubin level, total6555$0
82570Creatinine level to test for kidney function or muscle injury6454$0
84156Total protein level, urine6455$0
View full utilization report →

Insurance plans in this area (ZIP 35903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749254241View full group profile
NameSpecialtyState
U R O L O G YAL
U R O L O G YAL
U R O L O G YTN
Nurse PractitionerAL
U R O L O G YAL
U R O L O G YAL
Nurse PractitionerAL
U R O L O G YAL
U R O L O G YAL

Reviews

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Frequently asked questions

Can I verify MR. SPENCER RILEY WALLACE (CRNP) with an NPI only?
You can start verification with NPI 1831713387 for MR. SPENCER RILEY WALLACE (CRNP), then check state licensing separately.
Does the file indicate MR. SPENCER RILEY WALLACE (CRNP) is practicing under active NPI?
Directory data currently reports MR. SPENCER RILEY WALLACE (CRNP) as active.
What is MR. SPENCER RILEY WALLACE (CRNP)'s specialty?
The listing groups MR. SPENCER RILEY WALLACE (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MR. SPENCER RILEY WALLACE (CRNP) list a practice location?
Patients near Gadsden, Alabama may find MR. SPENCER RILEY WALLACE (CRNP) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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