ANNALIESA WALLACE (PA) – Medical Physician Assistant, NPI 1255744363
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for ANNALIESA WALLACE (PA)
1331 BANDERA HWY
STE 2
KERRVILLE, TX 780289515
Phone: (830) 895-7755
Fax: (830) 895-7757
Type: Location
708 HILL COUNTRY DR
STE 300A
KERRVILLE, TX 780286079
Phone: (830) 895-7755
Fax: (830) 895-7757
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 39 Open Payments records for all available years, with a total value of $730.
Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Astellas Pharma US Inc ($229).
Total Amount
$730
General + Research + Ownership
Payments
39
Total payment records
General Amount
$730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $229 |
| ABBVIE INC. | $225 |
| Sumitomo Pharma America, Inc. | $53 |
| MAYNE PHARMA COMMERCIAL LLC | $46 |
| Acella Pharmaceuticals, LLC | $45 |
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: 2014-11-20
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 |
|---|---|---|---|---|
| I20141120002029 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| J1071 | Injection, testosterone cypionate, 1 mg | 7,602 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 82 | $0 |
| 81003 | Automated urinalysis test | 93 | 88 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 93 | 38 | $0 |
Insurance plans in this area (ZIP 78028)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.