KATIE JUSTINE WALLACE (FNP-BC) – Family Nurse Practitioner, NPI 1790151967
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
Provider Addresses for KATIE JUSTINE WALLACE (FNP-BC)
5 INDUSTRIAL DRIVE, MASHPEE FAMILY MEDICINE
SUITE 100
MASHPEE, MA 026493544
Phone: (508) 477-4282
Fax: (508) 539-6134
Type: Mailing
MASHPEE FAMILY MEDICINE 5 INDUSTRIAL DRIVE
SUITE 100
MASHPEE, MA 02649
Phone: (508) 477-4282
Fax: (508) 539-6134
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: ABBVIE INC. ($78).
Total Amount
$124
General + Research + Ownership
Payments
4
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $78 |
| PFIZER INC. | $24 |
| AstraZeneca Pharmaceuticals LP | $22 |
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: 2016-09-27
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 |
|---|---|---|---|---|
| I20160927002405 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 168 | 119 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 168 | 79 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 151 | 104 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 135 | 74 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 105 | 103 | $0 |
Insurance plans in this area (ZIP 02649)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| - | MA | |
| Orthopedic Surgery | PA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | WA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Nurse Practitioner | MA | |
| Family Practice, Hospitalist | TX |
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