PEGGY LYNN WALLACE (APRN) – Nurse Practitioner, NPI 1841862059
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for PEGGY LYNN WALLACE (APRN)
2132 N 1700 W, STE 100
LAYTON, UT 840417059
Phone: (801) 807-7900
Fax: (801) 807-7904
Type: Location
630 SHEPARD LN
FARMINGTON, UT 840253934
Phone: (801) 447-8680
Fax: (801) 447-4211
Type: Location
1115 E 1675 N
NORTH OGDEN, UT 844043379
Phone: (801) 675-6624
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $629.
Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($256).
Total Amount
$629
General + Research + Ownership
Payments
26
Total payment records
General Amount
$629
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $256 |
| MIMEDX Group, Inc. | $129 |
| Molnlycke Health Care US, LLC | $72 |
| KCI USA, Inc. | $52 |
| Next Science LLC | $36 |
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: 2022-06-07
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 |
|---|---|---|---|---|
| I20220607002405 | I | Nurse Practitioner | UT | 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 | 199 | 52 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 199 | 39 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 25 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 36 | 30 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 32 | 13 | $0 |
Insurance plans in this area (ZIP 84041)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Hospitalist, General Practice, Family Practice | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Internal Medicine | PA |
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