MS. KATIE LYNN WALLACE (FNP-BC) – Family Nurse Practitioner, NPI 1952703092
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
Provider Addresses for MS. KATIE LYNN WALLACE (FNP-BC)
41 MALL RD
BURLINGTON, MA 018050002
Phone: (781) 744-8085
Type: Mailing
67 S BEDFORD ST STE 101E
BURLINGTON, MA 018035152
Phone: (781) 744-8085
Type: Location
PO BOX 760
WINCHESTER, MA 018904260
Phone: (781) 756-7273
Fax: (781) 721-0725
Type: Mailing
140 HAVERHILL ST
ANDOVER, MA 018101550
Phone: (978) 470-1616
Fax: (978) 470-8165
Type: Location
41 Mall Rd
Burlington, MA 018051550
Phone: (781) 744-8085
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($99).
Total Amount
$116
General + Research + Ownership
Payments
2
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $99 |
| Janssen Pharmaceuticals, Inc | $17 |
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: 2015-06-09
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 |
|---|---|---|---|---|
| I20150609000054 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 647 | 126 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 350 | 288 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 229 | 181 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 216 | 168 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 189 | 162 | $0 |
Insurance plans in this area (ZIP 01805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| D E R M A T O L O G Y | MA | |
| D E R M A T O L O G Y | CO | |
| Nurse Practitioner | MA |
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