MELISSA ANN WALLACE (CRNP) – Family Nurse Practitioner, NPI 1023524501
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,473 NURSE PRACTITIONER in PA
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Provider Addresses for MELISSA ANN WALLACE (CRNP)
Mount Nittany Health, 905, University Drive, Highlands Historic District, State College, Centre County, Pennsylvania, 16801, United States
STATE COLLEGE, PA 168016626
Phone: (814) 238-8418
Fax: (814) 234-2888
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $2,105.
Total Amount is formed as General ($2,105) + Research ($0) + Ownership ($0) = $2,105.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($495).
Total Amount
$2,105
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $495 |
| Sumitomo Pharma America, Inc. | $390 |
| ABBVIE INC. | $237 |
| UROGEN PHARMA, INC. | $122 |
| Axonics, Inc. | $85 |
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: 2025-09-09
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 |
|---|---|---|---|---|
| I20180122000897 | I | Nurse Practitioner | PA | TBD |
| I20250909001413 | I | Nurse Practitioner | SD | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 170 | 125 | $0 |
| 81002 | Urinalysis, manual test | 132 | 109 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 91 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 67 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 16801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SD | |
| - | SD | |
| Vascular Surgery, Thoracic Surgery, Thoracic Surgery, Cardiac Surgery | SC | |
| - | SD | |
| - | SD | |
| Cardiovascular Disease (Cardiology) | OH | |
| Nurse Practitioner | SD | |
| - | SD | |
| U R O L O G Y | KS | |
| N E P H R O L O G Y | MN |
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