DEBORAH WALLACE (FNP-C) – Family Nurse Practitioner, NPI 1215387832
Family Nurse Practitioner
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for DEBORAH WALLACE (FNP-C)
2311 Lime Kiln Ln
Louisville, KY 402223460
Phone: (877) 993-4321
Type: Location
20 KILMER DR
MANALAPAN, NJ 077263709
Phone: (229) 596-7531
Type: Mailing
4, Ryan Road, Monmouth Heights at Manalapan, Marlboro Township, Monmouth County, New Jersey, 07746, United States
MARLBORO, NJ 077462445
Phone: (917) 579-9730
Type: Mailing
67D Main St
Medway, MA 020531831
Phone: (877) 993-4321
Type: Location
4 Hall St
Concord, NH 033013414
Phone: (877) 993-4321
Type: Location
845 Bladensburg Rd NE
Washington, DC 200023927
Phone: (877) 993-4321
Type: Location
4961 Roberts Rd
Hilliard, OH 430268129
Phone: (877) 993-4321
Type: Location
11729 Roe Ave
Leawood, KS 662112605
Phone: (877) 993-4321
Type: Location
1545 Pulaski Hwy
Bear, DE 197011303
Phone: (877) 993-4321
Type: Location
51 Market St
South Portland, ME 041063617
Phone: (877) 993-4321
Type: Location
2982 COUNTY RD 516
OLD BRIDGE, NJ 088572325
Phone: (917) 579-9730
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: 2024-03-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20160822000390 | I | Nurse Practitioner | NJ | TBD |
| I20230427001084 | I | Nurse Practitioner | NY | TBD |
| I20230911003958 | I | Nurse Practitioner | DC | TBD |
| I20230928000667 | I | Nurse Practitioner | KS | TBD |
| I20231019001003 | I | Nurse Practitioner | KY | TBD |
| I20231023002473 | I | Nurse Practitioner | NH | TBD |
| I20231108001503 | I | Nurse Practitioner | OH | TBD |
| I20231204000955 | I | Nurse Practitioner | MA | TBD |
| I20240105000615 | I | Nurse Practitioner | ME | TBD |
| I20240325002187 | I | Nurse Practitioner | RI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 24 | 23 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 40222)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | NJ | 90670 | Pneumococcal vaccine for injection into muscle | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MD | |
| Nurse Practitioner | MA |
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